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).

Mediastinitis

Symptoms

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

Causes

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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Diagnosis

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

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

Causes:

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