Complicated submandibular abscess with mediastinitis

Case contributed by Dr Lukas Valkovic

Presentation

27 year old patient hospitalized for submandibular abscess, after tooth extraction. Extraoral incision with drainage was performed. After temporary improvement, patient's condition became progressively worse and he was sent to CT exam.

Patient Data

Age: 27
Gender: Male

Infected fluid collections in left retro/submandibular, buccal and parapharyngeal spaces. Another in the floor of the mouth and also just lateral to the hyoid bone. The collection spreads in front of both thyroid gland lobes with extension into the anterior mediastinum. 

Encapsulated pleural effusion on the right, free pleural fluid on the left side as a reaction to mediastinitis.

Encapsulated pleural effusion on the right, free pleural fluid on the left side.

Case Discussion

This patient was treated with drainage and combination of antibiotics. With very limited success, he was sent to the chest surgery department. After that, we have no additional information. 

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Case Information

rID: 45594
Case created: 31st May 2016
Last edited: 31st May 2016
Systems: Chest, Head & Neck
Inclusion in quiz mode: Excluded

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