A case of descending necrotizing mediastinaitis which followed the rapid course

Abstract

A 61y.o.women was transfered to our hospital for cardiopulmonary arrest owing to sepsis. A chest CT demonstrated spreading mediatinal emphysema and pleural effusion. A debridment and a drainage were performed via right thoracotomy. But after the operation, she died of sepsis. DNM (descending necrotizing mediastinitis) resulting from oropharyngeal infection, spreading to mediastinum, is a serious life threatening infection. We experienced a case of DNM which followed the rapid course.