Mediastinitis (inner chest inflammation)

About Mediastinitis (inner chest inflammation)

Inflammation in the mediastinum, usually from an infection. The mediastinum is the area in the center of the chest between the lungs and contains the heart, aorta, vena cava, windpipe (trachea), esophagus, and thymus gland. Causes include chest surgery, cancer, and a ruptured esophagus from vomiting or an endoscopy. The disorder may be life threatening if not treated early.

Symptoms

Fever, chills, chest pain, shortness of breath, malaise.

Tests & Diagnostics

A history and physical exam will be performed. A CT scan or MRI can identify the inflammation. Blood tests will be done to define the extent of infection and cultures will be taken to identify the organism.

Common tests: Complete blood count (CBC), Comprehensive metabolic panel (CMP), CT Scan, EKG, Troponin, X-ray.

Conventional treatment summary

Treatment includes intravenous antibiotics, and surgery. Surgery is done to drain any infection, remove infected tissue, or repair any esophageal injuries.

Medical specialties

Pulmonology · Thoracic Surgery · Pediatric Pulmonology

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Mediastinitis (inner chest inflammation).