mediastinitis…

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respiratory system, chest infection, mediastinitis involves inflammation, the mediastinum, cavity between the lungs, mediastinum contains the heart, large vessels, trachea, esophagus, thymus, connective tissues, mediastinitis, occur suddenly, acute, develop slowly, progressing over time, chronic, majority of cases occur in patients, had open chest surgery, complication occurs in less than 5 percent of all patients, open chest surgery, patients, a tear in esophagus, either from excessive vomiting, trauma, endoscopy, develop mediastinitis, chronic, slowly developing mediastinitis, arise from tuberculosis, histoplasmosis, fungal infections, cancer, sarcoidosis, risk factors include recent chest surgery, endoscopy, in the upper gastrointestinal tract, having an impaired immune system, fever, chills, chest pain, shortness of breath, malaise, signs of mediastinitis include chest wall tenderness, wound drainage, an unstable chest wall in patients, had recent surgery, a chest x-ray, a widened mediastinum, collection of inflammatory cells, the chest, a chest ct scan, a more detailed view, the mediastinitis, insert a needle, area of inflammation, withdraw a sample to send, gram stain, culture to identify the source of any infection, have an infection, prescribe antibiotics, given broad-spectrum antibiotics to start, switched to a more specific antibiotic once the type of bacteria causing the infection is determined, decreases the risk of side effects, patients, mediastinitis must undergo surgery to debride, remove, area of inflammation, prognosis depends on the cause, patients who develop mediastinitis after open chest surgery have a significant risk of death, complications, spread, the infection to surrounding structures, heart, great vessels, lungs, bones, spread, the infection, bloodstream, scarring, scarring, severe, chronic mediastinitis, compromise heart, lung function, contact provider, open chest surgery, develop chest pain, fevers, chills, shortness of breath, drainage, incisions, have tuberculosis, sarcoidosis, develop any of these symptoms, contact provider right away, way, prevent mediastinosis related to chest surgery, keep surgical incisions clean, dry after surgery, treatment of underlying tuberculosis, sarcoidosis, condition associated, mediastinitis, prevent this complication.