TY - JOUR
T1 - Acute mediastinitis, mediastinal granuloma, and chronic fibrosing mediastinitis
T2 - A review
AU - Lin, Julie
AU - Jimenez, Carlos A.
N1 - Funding Information:
C.A.J. is the guarantor of the paper. All authors (J.L. and C.A.J.) participated in manuscript writing and manuscript review.
Publisher Copyright:
© 2021
PY - 2022/3
Y1 - 2022/3
N2 - Acute mediastinitis is a rare infection that carries high morbidity and mortality. They are complications seen most often with deep sternal wound infections from surgeries with median sternotomies, oropharyngeal and odontogenic infections and esophageal perforations. These conditions should be promptly recognized and treated. Mediastinal granulomas are focal, mass-like lesions commonly resulting from prior granulomatous infections. They are regarded as benign, self-resolving lesions however can cause complications by compression of adjacent mediastinal structures. Chronic fibrosing mediastinitis is a rare, diffuse fibroinflammatory process most often seen with granulomatous infections and carries a worse prognosis than mediastinal granulomas especially when adjacent mediastinal structures are compromised. In this review, we discuss the epidemiology, etiology, clinical presentation, treatment and prognosis of acute mediastinitis, mediastinal granulomas, and chronic fibrosing mediastinitis.
AB - Acute mediastinitis is a rare infection that carries high morbidity and mortality. They are complications seen most often with deep sternal wound infections from surgeries with median sternotomies, oropharyngeal and odontogenic infections and esophageal perforations. These conditions should be promptly recognized and treated. Mediastinal granulomas are focal, mass-like lesions commonly resulting from prior granulomatous infections. They are regarded as benign, self-resolving lesions however can cause complications by compression of adjacent mediastinal structures. Chronic fibrosing mediastinitis is a rare, diffuse fibroinflammatory process most often seen with granulomatous infections and carries a worse prognosis than mediastinal granulomas especially when adjacent mediastinal structures are compromised. In this review, we discuss the epidemiology, etiology, clinical presentation, treatment and prognosis of acute mediastinitis, mediastinal granulomas, and chronic fibrosing mediastinitis.
KW - Acute mediastinitis
KW - Chronic fibrosing mediastinitis
KW - Deep sternal wound infection
KW - Descending necrotizing mediastinitis
KW - Esophageal perforation
KW - Mediastinal granuloma
KW - Mediastinitis
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U2 - 10.1053/j.semdp.2021.06.008
DO - 10.1053/j.semdp.2021.06.008
M3 - Review article
C2 - 34176697
AN - SCOPUS:85108940566
SN - 0740-2570
VL - 39
SP - 113
EP - 119
JO - Seminars in Diagnostic Pathology
JF - Seminars in Diagnostic Pathology
IS - 2
ER -