Table 1: Summary of 4 patients with Descending Necrotizing Mediastinitis.

Case

Age

(years)

Male

Initial site of infection

Diffusion of infection

Surgical Drainage

Hospital stay (days)

Outcome

1

47

F

Peritonsillar abscess

Monolateral cervical abscess, posterior mediastinitis,

Monolateral cervicitomy,

Right  thoracotomy,

15

Died

2

39

M

Peritonsillar abscess

Monolateral cervical abscess, posterior mediastinitis,

Left empyema

Monolateral cervicotomy,

Left  thoracotomy

26

Discharge

3

40

M

Odontogenic abscess

Cervical abscess on both sides, posterior mediastinitis,

 Pleural effusion on both sides.

Cervicotomy-

 Thoracotomy on both sides

35

Discharge

4

59

M

Odontogenic abscess

Monolateral cervical abscess, posterior mediastinitis, Left empyema

Monolateral cervicitomy, Left thoracotomy

28

Discharge