Anterior mediastinal abscesses of non-traumatic etiology are extremely rare in childhood and their presentation can be variable. We describe the unusual case of a previously healthy 10 year old boy who presented to the emergency department with chest pain and fever. Patient was found to have an anterior mediastinal abscess caused by Staphylococcus aureus. Even though surgical drainage was performed with significant clinical and laboratory improvement, patient developed secondary sternal osteomyelitis motivating a longer course of intravenous antibiotic therapy (for a total of 7 weeks). We discuss the etiology, diagnosis and therapeutic options of anterior mediastinal masses in children, drawing comparison with similar cases previously reported.
- Mediastinal abscess
- chest pain