Demographic, clinical, and paraclinical features of patients operated with the diagnosis of acute descending necrotizing mediastinitis: a retrospective study in Southern Iran

• DOI: 10.1186/s13019-023-02416-w
• Publication Date: 2023-12-08T10:02:01Z
• Authors: Keivan Ranjbar; Reza Shahriarirad; Kamyar Ebrahimi; Armin Amirian; Mohamadreza Karoobi; Parviz Mardani; Amirhossein Erfani; Mohammad Javad Fa...; Farzaneh Ketabchi; Bizhan Ziaian
• Keywords: Mediastinitis; Thoracotomy; Etiology; Chills; Cardiothoracic surgery

Abstract Introduction Descending necrotizing mediastinitis (DNM) is a type of acute that rarely reported but regarded as fatal disease despite improvements in technological methods and antibiotic therapies. We aimed to determine the demographic, clinical, paraclinical features patients diagnosed with DNM. Methods In this retrospective study, patients’ hospital records diagnosis DNM admitted Namazi southern Iran during 18 years (2002–2019) were reviewed. Demographic clinical recorded subsequently analyzed via SPSS 22. Results Out 67 patients, 25 (37.3%) an average age 37.2 ± 16.7 years, 68% male. Regarding etiology, 52.0% due neck infection. Based on technique surgery, 52% underwent combined method, which was mostly among I IIA DNM, while thoracotomy performed IIB (P = 0.08). incision, had highest frequency cervicothoracic incisions 0.02 0.002). Puss discharge significantly lower 0.01). presenting symptoms our majority (72.0%) chief complaint pain, followed by chills fever (48%). There no reports mortality short-term follow-up. Conclusion report one largest studies referral center, high prevalence younger populations, especially under 40 years. The method treatment should be chosen based extent infection can limited exploration upper mediastinal infections, though thoracic or approach more broad infections.