J Pediatr Infect Dis 2012; 07(01): 021-025
DOI: 10.3233/JPI-2012-0335
Georg Thieme Verlag KG Stuttgart – New York

Nonsurgical management of mediastinal abscess and Lemierre syndrome in an infant

Jeremias L. Murillo
a  Division of Pediatric Infectious Diseases, Children's Hospital of New Jersey, Newark, NJ, USA
,
Keneisha Bailey
b  Division of Pediatric Critical Care, Children's Hospital of New Jersey, Newark, NJ, USA
,
Evita Recio
b  Division of Pediatric Critical Care, Children's Hospital of New Jersey, Newark, NJ, USA
,
Maria Espiritu-Fuller
a  Division of Pediatric Infectious Diseases, Children's Hospital of New Jersey, Newark, NJ, USA
,
Joseph Sykes
b  Division of Pediatric Critical Care, Children's Hospital of New Jersey, Newark, NJ, USA
,
Tej Phatak
c  Department of Radiology, Newark Beth Israel Medical Center, Newark, NJ, USA
› Author Affiliations

Subject Editor:
Further Information

Publication History

27 April 2011

22 August 2011

Publication Date:
28 July 2015 (online)

Abstract

Non-surgical management of descending necrotizing mediastinitis secondary to a retropharyngeal abscess is a viable management option in children in contrast to the adult experience. We describe a pediatric case that underwent incision and drainage of a retropharyngeal abscess but did not require surgical drainage of a subsequent mediastinal abscess because of excellent clinical and radiologic response to intravenous antibiotics. The patient also had a co-existing Lemierre syndrome. Methicillin-resistant Staphylococcus aureus was recovered from the purulent drainage of the retropharyngeal abscess.