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Multipathogenic necrotising supraglottitis in an immunocompetent patient
Jacob Joseph Ahmed1, James Douglas Constable1, Tawakir Kamani1
1Otorhinolaryngology, Head and Neck Surgery, Royal Derby Hospital, Derby, UK.
BMJ Case Reports
|June 21, 2017
Summary
Supraglottitis, a rare but serious condition, can be caused by multiple pathogens. This case highlights successful treatment in an immunocompetent patient through aggressive therapy and surgical intervention.
Area of Science:
- Otolaryngology
- Infectious Diseases
Background:
- Supraglottitis is a severe upper airway infection.
- Haemophilus influenzae type B vaccination has reduced its incidence.
- Emerging pathogens include Streptococcus pneumoniae and Staphylococcus aureus.
Observation:
- A unique case of multipathogenic supraglottitis presented with laryngeal fibrinoid necrosis.
- The patient was immunocompetent but critically unwell, requiring tracheostomy.
- This rare presentation led to severe airway compromise.
Findings:
- The patient experienced a full recovery without long-term complications.
- Aggressive antimicrobial therapy was crucial for managing the infection.
- Timely surgical intervention, including tracheostomy, was vital for survival.
Implications:
- This case underscores the importance of prompt diagnosis and management of supraglottitis.
- Aggressive treatment strategies can lead to favorable outcomes even in severe cases.
- Understanding the evolving etiology of supraglottitis is essential for effective treatment.
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