Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

An unusual case of non-traumatic pneumococcal mediastinal abscess

  • 14 Accesses

  • 3 Citations


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.

This is a preview of subscription content, log in to check access.


  1. 1.

    Feldman R, Gromisch DS (1971) Acute suppurative mediastinitis. Am J Dis Child 121:79

  2. 2.

    Pollack MM, Fields AI, Holbrook PR (1979) Pneumothorax and pneumomediastinum during pediatric mechanical ventilation. Crit Care Med 7:536

  3. 3.

    De Latorre FJ, Tomasa A, Klamburg J (1977) Incidence of pneumothorax and pneumomediastinum in patients with aspiration pneumonia requiring ventilatory support. Chest 72:141

  4. 4.

    Thibeault DW, Lachman RS, Laul VR (1973) Pulmonary interstitial emphysema, pneumomediastinum and pneumothorax. Am J Dis Child 126:611

  5. 5.

    Enqwist RW, Blank RR, Butter RH (1976) Non-traumatic mediastinitis. JAMA 236:1048

Download references

Author information

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Lotan, C., Boneh, A., Tamir, I. et al. An unusual case of non-traumatic pneumococcal mediastinal abscess. Intensive Care Med 11, 43–44 (1985).

Download citation

Key words

  • Mediastinal abscess
  • Streptococcus pneumonia