Purulent mediastinitis: 24 hours for successful diagnosis and initiation of therapy

Purulent mediastinitis can develop in patients of any age and are characterized by a severe, progressive course with a high mortality rate. The causes of mediastinitis can be: complications of inflammatory diseases of the lungs, pleura, trachea, neck, oral cavity, larynx, pharynx, esophagus, heart. Primary mediastinitis occurs as a result of trauma and exogenous infection with open gunshot injuries of the mediastinum, with instrumental manipulations (esophageal esophageal surgery, esophagoscopy, tracheal intubation, tracheostomy, gastric probing, cardio-dilatation, and often injuries occur from foreign bodies of the esophagus, trachea, burns, tumors, perfora, perfora spontaneous rupture Primary mediastinitis can develop after operations on the organs of the chest, with anasto failure brains of the esophagus, trachea, bronchi, after cardiosurgical operations and infection of the mediastinal fiber.The primary source of infection can be phlegmon of the upper and lower extremities, frostbite, osteomyelitis of the lower jaw, pharyngeal abscess, phlegmonous mumps, purulent lymphadenitis, sepsis. Microfl ra in mediastin is presented mixed infection. Anaerobes (bacterioids, peptostreptococci, fusobacteria, Prevotella, etc.) can be combined with aerobes (staphylococci, streptococci, Klebsiella), their synergism is determined malignant course of mediastinitis and high mortality.