| Mediastinitis presenting as pyrexia of unknown origin. | |
| | |
MedLine Citation:
|
PMID: 12723660 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A 55 year old female was admitted as a case of pyrexia of unknown origin (PUO) of 2 months duration. She had developed throat ache, progressive dysphagia for both solids and liquids, dry cough and retrosternal pain for one week. Examination revealed fever, tachycardia, tachypnoea and a soft tissue warm tender, erythematous, non-fluctuant swelling in lower anterior neck with chest findings suggestive of bilateral pleural effusion. Plain X-rays of the neck and chest strengthened the clinical suspicion of cellulitis of lower neck with bilateral pleural effusion. CT scan confirmed the radiologic findings and also revealed pericardial effusion and thickening; small mediastinal lymphadenopathy and mediastinitis. Patient responded to parenteral antibiotics (ceftriaxone and metronidazole) and hydrocortisone with complete resolution in 10 days. |
| | |
Authors:
|
A Prakash; N P Singh; A Makhija; D Garg; S Kubba; S K Agarwal |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: The Journal of the Association of Physicians of India Volume: 51 ISSN: 0004-5772 ISO Abbreviation: J Assoc Physicians India Publication Date: 2003 Apr |
Date Detail:
|
Created Date: 2003-05-01 Completed Date: 2003-05-28 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 7505585 Medline TA: J Assoc Physicians India Country: India |
Other Details:
|
Languages: eng Pagination: 405-7 Citation Subset: IM |
Affiliation:
|
Department of Medicine, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi-110 002. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Anti-Bacterial Agents
/
therapeutic use Anti-Infective Agents / therapeutic use Ceftriaxone / therapeutic use Female Fever of Unknown Origin / etiology*, radiography Humans India Mediastinitis / complications*, drug therapy, radiography Metronidazole / therapeutic use Middle Aged Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
|
0/Anti-Bacterial Agents; 0/Anti-Infective Agents; 443-48-1/Metronidazole; 73384-59-5/Ceftriaxone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Pulmonary arteriovenous malformation treated with embolotherapy.
Next Document: Aggressive behaviour of solid arrangement pattern in differentiated papillary carcinoma of thyroid.