A 16-month old baby developed severe respiratory failure because of acute laryngitis and required mechanical ventilation. Intubation was complicated by aspiration and development of chemical pneumonia. Following 4 days of treatment the child was successfully extubated. Thirty six hours after extubation the patient again developed respiratory failure and on chest X-ray pneumomediastinum was seen and later evidence of a mediastinal abscess. Conservative treatment, with antibiotics, effected complete cure.
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Lotan, C., Boneh, A., Tamir, I. et al. An unusual case of non-traumatic pneumococcal mediastinal abscess. Intensive Care Med 11, 43–44 (1985). https://doi.org/10.1007/BF00256065
- Mediastinal abscess
- Streptococcus pneumonia