Purulent mediastinitis

Purulent mediastinitis is an inflammation and infection of the mediastinum, which is the space in the middle of the chest between the lungs that contains various structures such as the heart, blood vessels, esophagus, and thymus gland. This condition occurs when bacteria or other infectious agents invade the mediastinum, leading to the accumulation of pus (purulent fluid).



  • Fever
  • Chest pain
  • Difficulty breathing
  • Rapid heartbeat
  • Fatigue
  • Productive cough with purulent sputum
  • Sweating
  • Swelling or tenderness in the chest area


Purulent mediastinitis can be caused by:

  • Spread of infection from nearby structures, such as the lungs or throat
  • Direct contamination during surgery or invasive medical procedures in the chest area
  • Foreign body penetration or ingestion
  • Esophageal or paraesophageal perforation

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To diagnose purulent mediastinitis, healthcare professionals may perform the following:

  • Physical examination
  • Imaging tests, such as X-rays, CT scans, or MRI
  • Blood tests to check for signs of infection
  • Analysis of pus or fluid samples


Treatment for purulent mediastinitis usually involves:

  • Administration of antibiotics to target the specific bacteria causing the infection
  • Drainage of the pus through surgical procedures
  • Supportive care to manage symptoms and promote healing

It's important to seek prompt medical attention if symptoms of purulent mediastinitis arise, as this condition can be serious and potentially life-threatening if left untreated.

Purulent Mediastinitis


  • Infection spreading from nearby sites, such as the lungs, neck, or chest
  • Complications from surgeries or medical procedures in the chest or upper abdomen
  • Esophageal perforation
  • Sternum or rib fractures
  • Pre-existing infections, such as pneumonia or empyema
  • Weakened immune system
  • Foreign objects or substances entering the mediastinum

Purulent mediastinitis

  • Infection in the chest cavity
  • Pain or discomfort in the chest
  • Fever and chills
  • Difficulty breathing
  • Chest tightness or pressure
  • Coughing up blood or pus
  • Rapid heartbeat
  • Shortness of breath
  • Sweating
  • Frequent urge to urinate
  • Weight loss
  • General feeling of illness