Contencin P, Bobin S, François M, Laudignon N, Narcy P
Ann Otolaryngol Chir Cervicofac. 1985;102(5):333-6.
Laryngoscopic examination of new-born infants with laryngeal dyspnea or dysphonia usually reveals a congenital lesion, but true infections laryngitis, although rare, does still exist. Three cases are reviewed and the literature searched. Functional laryngeal signs are non-pathognomonic, all three levels of the larynx may be affected by inflammation, and pathogenic agents may be viral (herpes), bacterial (Haemophilus Para-Influenzae) or mycotic. In two of the cases reported confirmation of diagnosis was by local swab under laryngoscopic guidance. Recovery occurred after medical treatment alone and intubation was not required in any of the three patients. These findings emphasize the value of laryngoscopy with swab in all neonates with dyspnea or dysphonia in an infectious context.
对患有喉喘鸣或声音嘶哑的新生儿进行喉镜检查，通常会发现先天性病变，但真正的感染性喉炎虽然罕见，但确实存在。本文回顾了3例病例并检索了相关文献。功能性喉部体征并无诊断特异性，喉的三个层面均可能受到炎症影响，病原体可能是病毒（疱疹）、细菌（副流感嗜血杆菌）或真菌。在报告的2例病例中，通过喉镜引导下的局部拭子检查确诊。仅通过药物治疗后即康复，3例患者均未需要插管。这些发现强调了在感染情况下，对所有患有呼吸困难或声音嘶哑的新生儿进行喉镜检查及拭子检查的价值。
