Cases reported "Mediastinitis"

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1/2. ludwig's angina following dental extraction as a cause of necrotizing mediastinitis.

    A fatal case of ludwig's angina is reported in which penicillin was used as the sole antibiotic. bacteroides melanogenicus resistant by virtue of production of Beta-lactamase was present. It is suggested that a combination of penicillin and an antibiotic effective against anaerobes such as metronidazole is the most appropriate initial chemotherapy pending confirmation from the bacteriology laboratory.
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ranking = 1
keywords = extraction
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2/2. mediastinitis with fistula formation to the left main bronchus. A complication of wisdom tooth extraction.

    We describe a 23-year-old patient who after extraction of four wisdom teeth developed a descending necrotizing mediastinitis with a spontaneous fistula to the left main bronchus. Because of this fistula, treatment was limited to surgical drainage of the neck region and antibiotics. Recovery was uneventful.
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ranking = 1.25
keywords = extraction
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