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[A loud stridor after a COVID-19 infection]
E C M Baan-Kooman1,2, Sander Mol3, Raymond M Bonnet4
1Franciscus Gasthuis en Vlietland, afd. Spoedeisende Hulp,Rotterdam.
Nederlands Tijdschrift Voor Geneeskunde
|January 12, 2023
Summary
A 54-year-old patient developed a subglottic granuloma after endotracheal intubation for severe COVID-19. This case highlights the risk of airway complications following intubation for critical respiratory illness.
Area of Science:
- Otolaryngology
- Pulmonology
- Critical Care Medicine
Background:
- Severe COVID-19 infections frequently necessitate endotracheal intubation and mechanical ventilation.
- Airway complications can arise as a sequela of prolonged intubation.
- Subglottic stenosis and granulomas are known risks associated with endotracheal tube placement.
Observation:
- A 54-year-old patient presented with acute dyspnea and stridor.
- Fiberoptic examination revealed a large subglottic granuloma.
- The granuloma was attributed to recent endotracheal intubation for severe COVID-19.
Findings:
- The patient's symptoms were caused by a large subglottic granuloma.
- The granuloma's etiology was strongly suspected to be post-endotracheal intubation.
- This complication occurred in the context of a severe COVID-19 illness.
Implications:
- Increased rates of COVID-19 intubations may lead to a rise in post-intubation airway granulomas.
- Early recognition and management of subglottic granulomas are crucial.
- This case underscores the importance of vigilant airway monitoring in patients recovering from critical COVID-19.
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