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Mediastinitis

   Also found in: Medical, Wikipedia 0.01 sec.
mediastinitis [‚mē·dē‚as·tə′nīd·əs]
(medicine)
Inflammation of the mediastinum.

Mediastinitis 

inflammation of the mediastinum, arising as a result of injury (most often, to the esophagus) or disease of the organs of the thoracic cavity, neck, and oral cavity.

Mediastinitis may be acute or chronic. The acute form is manifested by elevated temperature, chills, chest pains, difficulty in swallowing and breathing, and cough. The principal indications of chronic mediastinitis are symptoms of venous, tracheal, and esophageal compression. The treatment of mediastinitis is usually surgical. Preventive measures include timely diagnosis and effective treatment of the diseases that lead to the condition.



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In October 2008, the Centers for Medicare and Medicaid Services (CMS) began denying or reducing payment for specific healthcare-associated infections(HAIs): catheter-associated urinary-tract infections, mediastinitis following coronary-artery bypass grafting, and vascular catheter-associated bloodstream infections.
Complications are rare but potentially life-threatening and include neck abscess, mediastinitis, lung abscess, esophageal carotid artery fistula, and perforated bowel?
The differential diagnosis for chest pain in a young, healthy, active duty soldier includes but is not limited to costochondritis, bronchitis, asthma, pneumonia, spontaneous pneumothorax, mediastinitis, gastroesophageal reflux or spasm, esophageal rupture, pulmonary embolus, pericarditis, myocarditis, aortic dissection, structural abnormalities such as coronary artery aneurysms, and acute coronary syndrome.
 
 
 
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