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{
    "pk": 1126,
    "title": "Necrotizing Mediastinitis Following Dental Extraction: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n Necrotizing mediastinitis is a rare complication following a dental procedure. It is frequently lethal and requires prompt diagnosis with advanced imaging, administration of broad-spectrum antimicrobials, and early surgical consultation.\nCase Report:\n A 19-year-old, otherwise healthy male presented to the emergency department with chest pain, muffled voice, and facial and neck swelling six days following dental extraction. He was found to have a retropharyngeal abscess causing necrotizing mediastinitis and septic shock. The patient was started on broad-spectrum antimicrobials, required 10 surgical procedures, and experienced a prolonged hospitalization.\nConclusion:\n Consider necrotizing mediastinitis in patients presenting with chest pain and signs of retropharyngeal infection after dental procedures. Prompt imaging, antimicrobial therapy, and surgical consultation is critical in treating this frequently fatal disease.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "descending necrotizing mediastinitis"
        },
        {
            "word": "odontogenic infections"
        },
        {
            "word": "facial abscess"
        },
        {
            "word": "septic shock"
        },
        {
            "word": "Pericarditis"
        },
        {
            "word": "dental emergency"
        },
        {
            "word": "case report."
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2gn086r3",
    "frozenauthors": [
        {
            "first_name": "Justin",
            "middle_name": "",
            "last_name": "Pinkston",
            "name_suffix": "",
            "institution": "University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama",
            "department": "None"
        },
        {
            "first_name": "Charles",
            "middle_name": "",
            "last_name": "Khoury",
            "name_suffix": "",
            "institution": "University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama",
            "department": "None"
        },
        {
            "first_name": "Jaron",
            "middle_name": "",
            "last_name": "Raper",
            "name_suffix": "",
            "institution": "University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama",
            "department": "None"
        }
    ],
    "date_submitted": "2022-01-29T04:52:18Z",
    "date_accepted": "2022-01-29T04:52:18Z",
    "date_published": "2022-01-29T04:52:51Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1126/galley/866/download/"
        }
    ]
}