Table 1. Symptoms, signs and site of origins and clinical characteristics of descending necrotizing mediastinitis with deep neck infections

Patient No. Age/Sex Symptoms & signs Sites of origin
Neck pain Neck skin redness Neck swelling Thoracic pain Dyspnea dental tonsil others
1 77/F + – + – – +
2 41/F + + – – – +
3 36/F + + – – – +
4 61/M + + + + + +
5 52/M + + + – – +
6 45/M + + + – – +
7 61/M + – – – – +
8 68/F + – + – – +
9 52/M + + + – – +
10 43/M + + + – – +
11 61/M + + + – – +
12 63/M + + + – – +
13 57/F + + + – – +
14 85/F + + + – + +
Patient No. Age/Sex WBC (mm3) CRP (mg/dL) Bacteriology Infection spreading pathway Admission stay Outcome DM HBP
1 77/F 18,660 33.3 Streptococcus gordonii AC 24 Discharge – –
2 41/F 19,160 38 Streptococcus constellatus AC 19 Discharge – +
3 36/F 17,290 39 Streptococcus constellatus AC 51 Discharge – –
4 61/M 11,540 34.6 Klebsiella Pneumonia AC 66 Expired – +
5 52/M 12,100 8 Staphylococcus aureus AC 21 Discharge – –
6 45/M 8,330 24.3 Streptococcus maltophilia AC, RV 62 Discharge – –
7 61/M 13,400 29.3 None RV 15 Discharge + –
8 68/F 18,010 29.6 Streptococcus viridans LC, CS 91 Expired – +
9 52/M 8,670 39.8 Streptococcus viridans LC 35 Expired + –
10 43/M 21,360 37 Streptococcus viridans CS 26 Discharge – –
11 61/M 14,220 23.1 Streptococcus mitis & oralis AC 71 Discharge – +
12 63/M 8,410 48 Streptococcus mitis & oralis AC 79 Discharge + –
13 57/F 10,530 18.5 G(+) bacilli AC 31 Discharge – –
14 85/F 13,320 27 Streptococcus viridans RV, CS 35 Discharge – +
AC: anterior cervical spread, RV: retrovisceral spread, LC: lateral cervical spread, CS: carotid space spread.