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  • Title: Descending necrotizing mediastinitis: a conservative approach.
    Author: Iyer S, Collum J, Babores M.
    Journal: Ear Nose Throat J; 2014 Mar; 93(3):E11-4. PubMed ID: 24652563.
    Abstract:
    Descending necrotizing mediastinitis (DNM) is a now-rare complication of dental and pharyngeal infections. Reports in the literature have emphasized the need for early, aggressive surgical intervention. We present a case of DNM with bilateral empyemas that arose secondary to a perforated pharyngeal abscess. The patient was successfully managed conservatively with intravenous antibiotics and intercostal drainage. We conclude that conservative management with antibiotics and image-guided percutaneous pleural drainage may be initially appropriate for the stable patient.
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