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  • Title: Ascending necrotizing mediastinitis secondary to emphysematous pyelonephritis.
    Author: Dajer-Fadel WL, Pichardo-González M, Estrada-Ramos S, Palafox D, Navarro-Reynoso FP, Argüero-Sánchez R.
    Journal: Asian Cardiovasc Thorac Ann; 2014 Sep; 22(7):869-71. PubMed ID: 24887856.
    Abstract:
    Mediastinal infections usually originate from postoperative complications or in a descending manner from a cervical infectious process; few reports have emerged describing an ascending trajectory. A 56-year-old woman with a Huang class 1 left emphysematous pyelonephritis was referred due to a progression of an ascending necrotizing mediastinitis. A left posterolateral thoracotomy was performed, drainage and thorough lavage were carried out with a successful outcome. We believe this is the first reported case of ascending necrotizing mediastinitis secondary to an emphysematous renal infection.
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