Anastasiadou Sofia, Karkos Peter, Krystallidis Nestoras, Sfakiannaki Ioanna, Triaridis Stefanos
Department of Ear Nose and Throat Surgery, ACHEPA Hospital, Thessaloniki, Greece.
Ear Nose Throat J. 2025 Mar;104(1_suppl):96S-99S. doi: 10.1177/01455613221119350. Epub 2022 Aug 13.
Ulcerative necrotic supraglottitis is a rare entity of laryngeal infection leading rapidly in laryngeal necrosis, systematic complications and potentially fatal outcomes. We present a case of a 50-year-old gentleman with ulcerative necrotising supraglottitis and no co-morbidities who presented in Ear Nose and Throat Service in the Accident and Emergency department due to dysphagia and weakness. He was treated with an emergency tracheostomy with neck exploration and washout and received appropriate supporting antibiotic regime. He improved and was eventually decannulated, able to breathe phonate and swallow appropriately. After a thorough review of the literature regarding necrotising infections of the laryngeal cavity, only 7 cases have been reported, all in immunocompromised patients with severe complications. Our case report is the first ulcerative necrotic supraglottitis in a healthy individual who was treated early and aggressively with impressive results.
溃疡性坏死性会厌炎是一种罕见的喉部感染性疾病，可迅速导致喉部坏死、全身并发症及潜在的致命后果。我们报告一例50岁男性患者，患有溃疡性坏死性会厌炎，无合并症，因吞咽困难和身体虚弱就诊于急诊部的耳鼻喉科。他接受了紧急气管切开术及颈部探查和冲洗，并接受了适当的支持性抗生素治疗方案。他病情好转，最终拔管，能够正常呼吸、发声和吞咽。在对有关喉腔坏死性感染的文献进行全面回顾后，仅报告了7例病例，所有病例均为伴有严重并发症的免疫功能低下患者。我们的病例报告是首例在健康个体中发生的溃疡性坏死性会厌炎，该患者早期接受了积极治疗，效果显著。
