Anterior mediastinal abscess diagnosed in a young sumo wrestler after closed blunt chest trauma

Most mediastinal abscesses result from infections after thoracotomy, esophageal perforation or pene- trating chest trauma. This disease is rarely caused by closed blunt chest trauma. All previously reported such cases after closed blunt chest trauma presented with hematoma and sternal osteomyelitis...

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Bibliographic Details
Published in:Chinese journal of traumatology 2015-12, Vol.18 (6), p.360-362
Main Authors: Sassa, Tatsuro, Kobayashi, Ken-ichiro, Ota, Masayuki, Washino, Takuya, Hikone, Mayu, Sakamoto, Naoya, Iwabuchi, Sentaro, Otsuji, Mizuto, Ohnishi, Kenji
Format: Article
Language:English
Subjects:
abscess
Abscess - diagnosis
Abscess - microbiology
Abscess - therapy
Adolescent
Anti-Bacterial Agents - therapeutic use
aureus
Chest
Chest trauma
Combined Modality Therapy
Debridement
Diagnosis, Differential
Drainage
Humans
Magnetic Resonance Imaging
Male
Mediastinal
Mediastinal abscess
Mediastinal Diseases - diagnosis
Mediastinal Diseases - microbiology
Mediastinal Diseases - therapy
Staphylococcal Infections - diagnosis
Staphylococcal Infections - microbiology
Staphylococcal Infections - therapy
Staphylococcus
Staphylococcus aureus
Sumo
Sumo wrestler
Thoracic Injuries - diagnosis
Thoracic Injuries - microbiology
Thoracic Injuries - therapy
Tomography, X-Ray Computed
trauma
Wounds, Nonpenetrating - diagnosis
Wounds, Nonpenetrating - microbiology
Wounds, Nonpenetrating - therapy
wrestler
Wrestling - injuries
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Summary:Most mediastinal abscesses result from infections after thoracotomy, esophageal perforation or pene- trating chest trauma. This disease is rarely caused by closed blunt chest trauma. All previously reported such cases after closed blunt chest trauma presented with hematoma and sternal osteomyelitis resulting from sternal fracture. Here we report a 15-year-old sumo wrestler who presented with an anterior mediastinal abscess without any mediastinal fracture. The mediastinal abscess resulted from the he- matogenous spread of Staphylococcus aureus to a hematoma that might have been caused by a closed blunt chest trauma incurred during sumo wrestling exercises.
ISSN:1008-1275
DOI:10.1016/j.cjtee.2015.12.002