Mediastinitis classification: Difference between revisions
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==Overview== | ==Overview== | ||
Mediastinitis may be classified | Mediastinitis may be classified based on the onset of the disease (acute vs. chronic) and the cause (Post-cardiothoracic surgery vs. Descending necrotizing). | ||
==Classification== | ==Classification== |
Revision as of 16:08, 31 August 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Mediastinitis may be classified based on the onset of the disease (acute vs. chronic) and the cause (Post-cardiothoracic surgery vs. Descending necrotizing).
Classification
Acute
- In modern practice, most cases of acute mediastinitis result from complications of cardiovascular or endoscopic surgical procedures.
- Odontogenic (infected tooth)
- Perforation of the esophagus (Boerhaave syndrome)
- Retropharyngeal infections
Chronic
Chronic medistinitis 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 mediastinum. This may result in such complications as superior vena cava syndrome or pulmonary edema from compression of pulmonary veins.