传染性单核细胞增多症后的特异性膜性喉炎。

Aspecific membranous laryngitis after infectious mononucleosis.

作者信息

Di Girolamo S, Anselmi M, Piccini A, De Lauretis A, Passàli D

机构信息

E.N.T. Department, School of Medicine, Siena University, Italy.

出版信息

Int J Pediatr Otorhinolaryngol. 1996 Jan;34(1-2):171-4. doi: 10.1016/0165-5876(95)01251-6.

DOI:10.1016/0165-5876(95)01251-6

PMID:8770686

Abstract

Aspecific membranous laryngitis is an unusual but very serious complication of viral infections. Here, we report the uncommon finding of infectious mononucleosis characterized by aspecific membranous laryngitis with fever, dysphonia and severe dyspnea in a 12-year-old girl. Endoscopy showed mucopus and sloughed epithelium forming a pseudomembrane covering almost all the supraglottal region and a supraglottal swelling including the epiglottis and arytenoids. The importance of suspecting diphtheria, epiglottitis, viral or bacterial croup and laringo-tracheo-bronchitis and including them in the differential diagnosis is emphasized.

摘要

特异性膜性喉炎是病毒感染的一种罕见但非常严重的并发症。在此，我们报告一名12岁女孩患传染性单核细胞增多症的罕见病例，其特征为特异性膜性喉炎伴发热、声音嘶哑和严重呼吸困难。内镜检查显示，黏液脓性分泌物和脱落的上皮形成假膜，几乎覆盖整个声门上区域，声门上肿胀，包括会厌和杓状软骨。强调了怀疑白喉、会厌炎、病毒性或细菌性哮吼以及喉气管支气管炎并将它们纳入鉴别诊断的重要性。