Top
25
Doctor insights on: Mediastinitis

Share
Dr. John Landi
11 doctors shared insights

Mediastinitis (Overview)

Mediastinitis can refer to 2 things. After heart surgery if an infection develops in the chest incision site which progresses deep to the bone and into the area below the bone we call this mediastinitis. This is a terrible complication but fortunately happens very rarely. Mediastinitis can also refer to chronic inflammation in the mediastinum (the area in the chest between the lungs.


1

1
What are the symptoms of fibrosing mediastinitis (fm)?

What are the symptoms of fibrosing mediastinitis (fm)?

Several or none: Early stages may have no symptoms at all. As the fibrosis progresses, symptoms develop based on the structure involved. More commonly the superior vena cava is compressed and can lead to engorged neck veins, head and/or arm swelling and headaches. If the trachea or main bronchi are compressed there may be difficulty breathing. If the esophagus is compressed, then there is difficulty swallowing. ...Read more

Dr. John Landi
11 doctors shared insights

Mediastinitis (Overview)

Mediastinitis can refer to 2 things. After heart surgery if an infection develops in the chest incision site which progresses deep to the bone and into the area below the bone we call this mediastinitis. This is a terrible complication but fortunately happens very rarely. Mediastinitis can also refer to chronic inflammation in the mediastinum (the area in the chest between the lungs.


3

3
What is the treatment for mediastinitis?

What is the treatment for mediastinitis?

Antibiotics & drain: Usually requires a combination of surgery to drain the infection, and reapir the primary cause in association with antibiotics. ...Read more

See 1 more doctor answer
4

4
What are the major risks of mediastinitis?

I'm guessing postop?: If you are referring to post-op mediastinitis after sternotomy the most significant risk factors are obesity, female sex, diabetics. ...Read more

5

5
How do you contract mediastinitis?

After surgery: Most commonly after sternotomy and heart surgery, but it can happen after other operations, after instrumentation, such as esophagoscopy, and ocassionally after foreign body perforation of esophagus, or spontaneously. ...Read more

6

6
Fibrosing mediastinitis: what happens?

Fibrosing mediastinitis: what happens?

Scar tissue develops: It is a rare disorder. Scar tissue builds up and deforms organs in the mediastinum. Most commonly the trachea or superior vena cava are effected. ...Read more

7

7
How to contract fibrosing mediastinitis?

Histoplasmosis : There are two main types of fibrosing mediastinitis. Most common is the late manifestations of a histoplasmosis infection. The other is idiopathic, which basically means, we don't know. ...Read more

8

8
What are the major risks of mediastinitis?

I'm guessing postop?: If you are referring to post-op mediastinitis after sternotomy the most significant risk factors are obesity, female sex, diabetics. ...Read more

9

9
What are the symptoms of fibrosing mediastinitis (fm)?

Several or none: Early stages may have no symptoms at all. As the fibrosis progresses, symptoms develop based on the structure involved. More commonly the superior vena cava is compressed and can lead to engorged neck veins, head and/or arm swelling and headaches. If the trachea or main bronchi are compressed there may be difficulty breathing. If the esophagus is compressed, then there is difficulty swallowing. ...Read more

10

10
What is the definition or description of: mediastinitis?

What is the definition or description of: mediastinitis?

Two things: Mediastinitis can refer to 2 things. After heart surgery if an infection develops in the chest incision site which progresses deep to the bone and into the area below the bone we call this mediastinitis. This is a terrible complication but fortunately happens very rarely. Mediastinitis can also refer to chronic inflammation in the mediastinum (the area in the chest between the lungs. ...Read more

See 2 more doctor answers
11

11
What is the treatment for mediastinitis?

Antibiotics & drain: Usually requires a combination of surgery to drain the infection, and reapir the primary cause in association with antibiotics. ...Read more

See 1 more doctor answer
12

12
Fibrosing mediastinitis: tell me what happens in the lungs?

Fibrosing mediastinitis: tell me what happens in the lungs?

Find cause: Chronic fibrosing mediastinitis is characterized by diffuse fibroisis in the mediastinum usually seen on chest xray. It is not very common but occurs as a complication of some infections which tend to cause granulomas in the lung and mediastinum including histoplasmosis and tuberculosis. Radiation therapy can also cause fibroisng mediastinitis. ...Read more

13

13
What happens in the lungs when you have fibrosing mediastinitis?

What happens in the lungs when you have fibrosing mediastinitis?

Gradual decline: Fibrosing mediastinitis is usually an excessive allergic response to histoplasmosis but may have other causes. It is an over formation of scar tissue in the mediastinum that over time can affect the blood vessels to the lungs and also cause bronchial obstruction in late stages. Blood vessel involvement can cause segmental lung infarction and pleurisy. These complications are rare . ...Read more

16

16
Can mediastinitis caused by car accident /esopagus damage be seen in plain 2 view chest X-ray?

Can mediastinitis caused by car accident /esopagus damage be seen in plain 2 view chest X-ray?

Not necessarily: The effects of esophageal rupture or injury may be noticed on plain films as widening of mediastinum and fluid in pleural space. Usually consideration of symptoms chest pain, chills, fever,general discomfort and shortness of breath. Usually inflammation associated with bacterial infection requiring antibiotic therapy. Supplemental testing includes esophagogram and CT exam. ...Read more

17

17
What is m.R.S.A.?

What is m.R.S.A.?

See below: Methicillin-resistant staphylococcus aureus. It is a bacteria (s. Aureus) that is resistant to methicillin, an antibiotic. This makes it resistant to several other standard antibiotics and also gives it a unique virulence due to its genetics. ...Read more

See 2 more doctor answers
18

18
Can you die from s.V.T?

Can you die from s.V.T?

Usually not serious: Death from svt must be extremely rare, if ever. It is usually managed as outpatient. ...Read more

19

19
What is sjögren’s syndrome?

What is sjögren’s syndrome?

Dryness arthritis: Typically it is dryness of eyes, mouth, arthritis, swelling of salivary glands. ...Read more

See 1 more doctor answer
20

20
My b/s is 564 what should I do?

My b/s is 564 what should I do?

Need to seek trtmt: I am not an expert here but having elevated blood sugars this high for too long can be life threatening and lead to permanent organ damage. Could land you in a diabetic coma. You need to seek medical attention with an internist, family practice doc, or endocrinologist to get this under check. ...Read more

21

21
How is sjögren’s formally diagnosed?

How is sjögren’s formally diagnosed?

Several ways: History, physical examination, lab tests for sjogren's antibodies and on occasion a "lip biopsy" removing some minor salivary glands from inside the lower lip to examine them microscopically. ...Read more

See 1 more doctor answer
22

22
Hello my name 's benz. I have a headag?

Sorry: Sorry, you're going to have to clarify your question. ...Read more

23

23
What medicines should be taken in i.b.s?

What medicines should be taken in i.b.s?

Depends: Depends on what type of IBS you have… Constipation type we have a few different medications, for diarrhea type there are fewer options. Before diagnosing yourself with IBS though, make sure you have colonoscopy and EGD and labs done and an examination as IBS is what we call a diagnosis of exclusion, where we "rule Out" other causes then call it IBS. ...Read more

24

24
What are the symptoms that you have a s.T.D ?

What are the symptoms that you have a s.T.D ?

Not many: By far, the most common symptoms for women are a vaginal discharge and pain with intercourse. The discharge may or may not be foul smelling. It will be different from your typical discharge. Unlike men, women frequently do not have any burning with urination. ...Read more

25

25
What are some of the manifestations of p.T.S.D?

What are some of the  manifestations of p.T.S.D?

PTSD symptoms: Persistent re-experiencing of a traumatic event that threatened death or serious injury, or that one witnessed in another. Persistent avoidance of stimuli which might remind one of the event, and generalized numbing. Symptoms of increased arousal such as intense anxiety, difficulty falling asleep, nightmares if you do sleep, exaggerated "startle" responses, and hypervigolance are also common. ...Read more

See 1 more doctor answer