Mediastinitis is a complication generally associated with thoracic surgery. Its occurrence after placement of a central venous catheter is uncommon, and only a few cases have been reported. An 83-year-old man who had mediastinitis due to extravasation of parenteral nutritional formula via a central venous catheter is presented. The signs and symptoms, diagnosis, and treatment of this unusual complication are described. This complication should be included in the differential diagnosis of mediastinitis in patients with a central venous catheter in place who have not had thoracic surgery.
Acute Mediastinitis Due to Extravasation of Parenteral Nutritional Formula via a Central Venous Catheter
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Miguel Ruiz Marín, Maria Encarnación Tamayo Rodríguez, Jorge Alejandro Benavides Buleje, Francisco Miguel González Valverde, Marcelino Méndez Martínez, Patricia Pastor Pérez, María Vicente Ruiz, Ana Ruiz Rodríguez, Alejandro Puerta Sales, Pedro Marín Rodríguez, Antonio Albarracín Marín Blázquez; Acute Mediastinitis Due to Extravasation of Parenteral Nutritional Formula via a Central Venous Catheter. Am J Crit Care 1 July 2012; 21 (4): 296–299. doi: https://doi.org/10.4037/ajcc2012854
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