• Mediastinitis in infants and children secondary to trauma is rarely reported as evidenced by a literature search. A case of mediastinitis occurred following perforation of the pharynx by a pencil. In neonates, traumatic perforation may mimic esophageal atresia. In older children with a history of trauma to the mouth or pharynx by a sharp object, the possibility of secondary mediastinitis exists.
(Am J Dis Child 129:962-963, 1975)