Inflammation of cellulose mediastinum, often caused by purulent nonspecific infection. It occurs both initially (injury of the mediastinal organs) and secondarily (a complication of various purulent processes in the body).
Symptoms and course:The disease is distinguished by severity of the course, the complexity of early diagnosis and high mortality. There are 3 forms of mediasthenitis: acute nonpurulent, acute purulent and chronic.
For acute forms, chest pains, shortness of breath, chills, fever are typical. Particularly difficult are purulent mediasthenitis, in which the retrosternal pains are pronounced and constant. A characteristic feature is a sudden acute onset with rapid manifestation of various symptoms. All signs can be divided into two groups: general, caused by intoxication, and symptoms caused by local compression of organs, vessels and nerves. The most justified should be considered active surgical tactics, mandatory for purulent forms of the disease.
The severity of chronic mediasthenitis is due to the development of fibrous scars in the connective tissue, which compress the mediastinal organs. The treatment of chronic mediastapitis is mainly conservative: antibiotic therapy, radiotherapy. Surgical intervention is shown in rare cases with a strong compression of the scars of a mediastinal organ.