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KMID : 0354719920160030237
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Journal of Korean Diabetes Association
1992 Volume.16 No. 3 p.237 ~ p.240
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A Case of NIDDM Complicated by Acute Mediastinitis
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이대호
강호철/안재수/장현주/최은진/박상선/조재현/정민영/이태희
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Abstract
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Because of decreased host immunity, the poorly controlled diabetic patients are susceptible to infections of the urinary tract, respiratory tract and skin, etc. The incidence of acute mediastinitis is rare. The usual causes of acute mediastinitis
are
esophageal perforation or median sternotomy during open heart surgery Factors associated with the increased incidence of acute mediastinitis after open heart surgery include the presence of postoperative complications, triple valve replacement,
and
diabetes mellitus. Twenty five percent of acute mediastinitis are non-traumatically developed. Most of them are developed by extension of infections of the head and neck through the cervical fasciae.
We report a 68-year-old woman with NIDDM complicated by acute mediastinitis in whom the retropharyngeal abscess and left lateral neck cellulitis caused by Klebsiella pneumoniae, spreaded to the mediastinum.
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KEYWORD
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