Cardiac tamponade due to group a streptococcus descending necrotizing mediastinitis: case report of an unusual presentation.
J Emerg Med
; 47(1): 12-4, 2014 Jul.
Article
en En
| MEDLINE
| ID: mdl-24657258
ABSTRACT
BACKGROUND:
Cardiac tamponade from necrotizing descending mediastinitis is a rare but life-threatening complication of cervicofacial infections. CASE REPORT A 49-year-old woman presented in shock with pleuretic chest pain at a small community clinic. She was transferred to our emergency department where cardiac tamponade was diagnosed and drained. Her initial complete blood count and chest radiography suggested a neoplastic process. She, however, was diagnosed with descending necrotizing mediastinitis due to group A Streptococcus. She underwent surgical drainage and recovered uneventfully. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS? Descending necrotizing mediastinitis can present with cardiac tamponade and a leukemoid reaction mimicking a neoplastic process. Recognizing this entity allows initiation of potentially life-saving treatments.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Infecciones Estreptocócicas
/
Streptococcus pyogenes
/
Taponamiento Cardíaco
/
Fascitis Necrotizante
/
Mediastinitis
/
Neoplasias
Tipo de estudio:
Diagnostic_studies
Límite:
Female
/
Humans
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Middle aged
Idioma:
En
Revista:
J Emerg Med
Asunto de la revista:
MEDICINA DE EMERGENCIA
Año:
2014
Tipo del documento:
Article
País de afiliación:
Canadá