Hızlı Progresyon Gösteren Descending Nekrotizan Mediastinit Olgusu: Yoğun Bakım Süreci ve Mortalite
Özet
Mediastinit, yüksek mortalite oranına sahip, hızlı ilerleyen ve acil cerrahi müdahale gerektiren nadir fakat ciddi bir enfeksiyondur. Bu olguda, peritonsiller abse sonrası gelişen derin boyun enfeksiyonu ve mediastinit nedeniyle cerrahi drenaj yapılan ancak tüm girişimlere rağmen mortal seyreden bir hastanın yoğun bakım süreci sunulmuştur. Olgu, enfeksiyonun ne kadar hızlı ilerleyebileceğini, cerrahi müdahalenin gecikmeden yapılmasının önemini ve multidisipliner yaklaşımın gerekliliğini göstermesi açısından dikkat çekicidir.
Mediastinitis is a rare but life-threatening condition with high mortality, requiring urgent surgical intervention. In this case report, we present a patient who developed deep neck infection and mediastinitis after a peritonsillar abscess, underwent surgical drainage, but died despite all intensive efforts. This case highlights the aggressive progression of the infection and the need for timely surgical and intensive care management.
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