The case of a young woman with infectious mononucleosis complicated by descending necrotizing mediastinitis

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  • 伝染性単核球症の経過中に降下性壊死性縦隔炎を発症した若年女性の1例

Abstract

<p>An 18-year-old woman had been treated for infectious mononucleosis by the Department of Otorhinolaryngology in our hospital. Because a deep cervical abscess formed due to secondary infection, cervical drainage under local anesthesia was performed. Three days after the cervical drainage, enhanced contrast CT showed descending necrotizing mediastinitis. Subsequently, she was referred to us. Emergency mediastinotomy and left intrathoracic drainage with VATS were performed. At the same time, follow-up open drainage of the deep cervical abscess was conducted. After surgery, intrathoracic irrigation by 1 L of saline per day and continuous drainage were performed for ten days. She was discharged on postoperative day 29 with no adverse event. We report the case of a young woman with infectious mononucleosis complicated by descending necrotizing mediastinitis. </p>

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