Ahmed Jacob Joseph, Constable James Douglas, Kamani Tawakir, De Mriganka
Otorhinolaryngology, Head and Neck Surgery, Royal Derby Hospital, Derby, UK.
BMJ Case Rep. 2017 Jun 18;2017:bcr-2017-219631. doi: 10.1136/bcr-2017-219631.
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.
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。
