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免疫功能正常患者的多病原性坏死性会厌炎

Multipathogenic necrotising supraglottitis in an immunocompetent patient.

作者信息

Ahmed Jacob Joseph, Constable James Douglas, Kamani Tawakir, De Mriganka

机构信息

Otorhinolaryngology, Head and Neck Surgery, Royal Derby Hospital, Derby, UK.

出版信息

BMJ Case Rep. 2017 Jun 18;2017:bcr-2017-219631. doi: 10.1136/bcr-2017-219631.

Abstract

Supraglottitis is a potentially life-threatening condition. It is now uncommon due to the type B vaccination and is more recently caused by , , non-type B, , and Very rarely, it can cause necrotising supraglottitis/epiglottitis, and this has been reported in immunocompromised individuals. We present a unique case of multipathogenic supraglottitis causing laryngeal fibrinoid necrosis in an immunocompetent patient. During his admission, the patient was critically unwell and required surgical intervention and tracheostomy. However, he made a full recovery with no persisting morbidity. We believe that this was owed to the aggressive antimicrobial therapy, timely surgical management of the disease process and the patient’s immunocompetency.

摘要

会厌炎是一种可能危及生命的疾病。由于B型疫苗接种,现在这种疾病并不常见,最近它由非B型的[具体病菌1]、[具体病菌2]、[具体病菌3]以及[具体病菌4]引起。非常罕见的情况下,它会导致坏死性会厌炎/会厌炎,免疫功能低下的个体中曾有过相关报道。我们报告了一例独特的多病原性会厌炎病例,该病例在一名免疫功能正常的患者中导致了喉部纤维蛋白样坏死。在患者住院期间,病情危急,需要手术干预和气管切开术。然而,他完全康复,没有留下持续的病症。我们认为这归功于积极的抗菌治疗、对疾病进程的及时手术处理以及患者的免疫功能正常。

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