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Multipathogenic necrotising supraglottitis in an immunocompetent patient

Collection

  • General Surgery and Urology

Document Type

Published Date

  • 2017-06

Keywords

Abstract

  • Supraglottitis is a potentially life-threatening condition. It is now uncommon due to the Haemophilus influenza type B vaccination and is more recently caused by Streptococcus pneumoniae, S. pyogenes, H. influenza non-type B, H. parainfluenzae, Staphylococcus aureus and Pasteurella multocida. 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 patients immunocompetency.
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