Akut Desendan Nekrotizan Mediastinit A rare case: Acute Descending Necrotizing Mediastinitis

Acute desending necrotizing mediastinitis(DNM) is a fulminant process that occurs as a complication of cervical necrotizing faciitis that spreads along the fascial planes without involvement of primary skin and muscle with high mortality rates. It is a clinical condition characterized by high mortality despite intense treatment. We present a case of DNM in 30-year-old girl suffering from a dental abscess. A-30-year-old woman admitted with fever, exhaustion neck distendion for a week. He had a tooth abscess one week ago.female patient who admitted to our department with the diagnosis of DNM underwent Neck insision, and the abscess in her neck was drained with transcervical initiative. Necrotic tissue in the area was debrided. Since thorax computerized tomography revealed formation of empyema pouches and emission of pus content from the retropharyngeal area into the mediastinum, decortication and empyemectomy were performed. The mediastinal pleura was resected and the mediastinum was cleaned. The patient was discharged with full recovery. Descending mediastinitis secondary to a deep neck infection is a rare occurrence. This study aims to share this successfully treated case in the light of the literature.