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

Abstract

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 hematogenous spread of Staphylococcus aureus to a hematoma that might have been caused by a closed blunt chest trauma incurred during sumo wrestling exercises.

• Authors: Tatsuro Sassa, Ken-Ichiro Kobayashi, Masayuki Ota, Takuya Washino, Mayu Hikone, Naoya Sakamoto, Sentaro Iwabuchi, Mizuto Otsuji, Kenji Ohnishi
• Journal: Chinese journal of traumatology = Zhonghua chuang shang za zhi (Chin J Traumatol) Vol. 18 Issue 6 Pg. 360-2 ( 2015) ISSN: 1008-1275 [Print] China
• PMID: 26917029 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents

Topics

• Abscess (diagnosis, microbiology, therapy)
• Adolescent
• Anti-Bacterial Agents (therapeutic use)
• Combined Modality Therapy
• Debridement
• Diagnosis, Differential
• Drainage
• Humans
• Magnetic Resonance Imaging
• Male
• Mediastinal Diseases (diagnosis, microbiology, therapy)
• Staphylococcal Infections (diagnosis, microbiology, therapy)
• Thoracic Injuries (diagnosis, microbiology, therapy)
• Tomography, X-Ray Computed
• Wounds, Nonpenetrating (diagnosis, microbiology, therapy)
• Wrestling (injuries)