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==Overview==
==Overview==
Mediastinitis may be classified according to the onset of the disease into either acute or chronic cases.  
Mediastinitis may be classified according to the onset and duration of symptoms into 2 groups: acute or chronic.<ref name=AAA> Mediastinitis. Wikipedia (2015) https://en.wikipedia.org/wiki/Mediastinitis Accessed on September 21, 2015</ref> Additionally, acute mediastinitis may be classified according to the cause of the disease.<ref name=MendellID> Mandell GL. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. Churchill Livingstone; 2010.</ref>


==Classification==
==Classification==
Mediastinitis may be classified according to the onset and duration of symptoms into 2 groups: acute or chronic. Each form of mediastinitis has a different pathophysiology and underlying etiologies.<ref name=AAA> Mediastinitis. Wikipedia (2015) https://en.wikipedia.org/wiki/Mediastinitis Accessed on September 21, 2015</ref>
===Acute===
===Acute===
*In modern practice, most cases of acute mediastinitis result from [[Complication (medicine)|complications]] of cardiovascular or endoscopic surgical procedures.
Acute mediastinitis may be classified according to the cause of the disease, which include [[esophageal perforation]], head and neck infections, spread of another infection, and [[median sternotomy]].<ref name=MendellID> Mandell GL. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. Churchill Livingstone; 2010.</ref>
*[[Dental caries|Odontogenic]] (infected tooth)
 
*Perforation of the esophagus ([[Boerhaave syndrome]])
====Esophageal Perforation====
*[[Retropharyngeal space|Retropharyngeal]] infections
*[[Boerhaave syndrome]]
*[[Nasogastric tube]]
*Swallowing foreign bodies
*[[Trauma]]
 
====Head and Neck Infection====
*[[Dental caries|Odontogenic]] infections
*[[Pharyngitis]]
*[[Tonsillitis]]
 
====Spread of Other Infection====
*[[Pneumonia]]
*[[Pneumonitis]]
*[[Tuberculosis]]
*[[Anthrax]]
 
====Median Sternotomy====
*[[Open heart surgery]]
*[[Coronary artery bypass surgery]]
*[[Heart transplant]]
*[[Valve replacement]]


===Chronic===
===Chronic===
Chronic mediastinitis is usually a radiologic diagnosis manifested by diffuse fibrosis of the soft tissues of the mediastinum.  This is sometimes the consequence of prior granulomatous disease, most commonly [[histoplasmosis]].  Other identifiable causes include [[tuberculosis]] and [[radiation]] therapy. Fibrosing mediastinitis most frequently causes problems by constricting blood vessels or airways in the mediastinumThis may result in complications such as [[superior vena cava syndrome]] or [[pulmonary edema]] from compression of pulmonary veins.
Chronic mediastinitis may be classified according to the cause, duration, and recurrence of the disease, which include:
*[[Chronic granulomatous disease]]
*[[Tuberculosis]]
*[[Histoplasmosis]]
*[[Radiation therapy]]
 
Additionally, mediastinitis can be divided into two subcategories: focal or diffuse, which are differentiated by radiological findings.<ref name="pmid11353121">{{cite journal| author=Rossi SE, McAdams HP, Rosado-de-Christenson ML, Franks TJ, Galvin JR| title=Fibrosing mediastinitis. | journal=Radiographics | year= 2001 | volume= 21 | issue= 3 | pages= 737-57 | pmid=11353121 | doi=10.1148/radiographics.21.3.g01ma17737 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11353121 }} </ref>


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


[[Category:Disease]]
 
[[Category:Thorax]]
[[Category:Pulmonology]]
[[Category:Pulmonology]]
[[Category:Infectious disease]]
 


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Latest revision as of 18:02, 18 September 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anthony Gallo, B.S. [2]

Overview

Mediastinitis may be classified according to the onset and duration of symptoms into 2 groups: acute or chronic.[1] Additionally, acute mediastinitis may be classified according to the cause of the disease.[2]

Classification

Mediastinitis may be classified according to the onset and duration of symptoms into 2 groups: acute or chronic. Each form of mediastinitis has a different pathophysiology and underlying etiologies.[1]

Acute

Acute mediastinitis may be classified according to the cause of the disease, which include esophageal perforation, head and neck infections, spread of another infection, and median sternotomy.[2]

Esophageal Perforation

Head and Neck Infection

Spread of Other Infection

Median Sternotomy

Chronic

Chronic mediastinitis may be classified according to the cause, duration, and recurrence of the disease, which include:

Additionally, mediastinitis can be divided into two subcategories: focal or diffuse, which are differentiated by radiological findings.[3]

References

  1. 1.0 1.1 Mediastinitis. Wikipedia (2015) https://en.wikipedia.org/wiki/Mediastinitis Accessed on September 21, 2015
  2. 2.0 2.1 Mandell GL. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. Churchill Livingstone; 2010.
  3. Rossi SE, McAdams HP, Rosado-de-Christenson ML, Franks TJ, Galvin JR (2001). "Fibrosing mediastinitis". Radiographics. 21 (3): 737–57. doi:10.1148/radiographics.21.3.g01ma17737. PMID 11353121.


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