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Infectious Mononucleosis Presenting as Near-Fatal Tracheal Obstruction

Sunil Kumar1, Sanyukta Hepat1, Sourya Acharya1

  • 1Department of General Medicine, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra, India.

Journal of Global Infectious Diseases
|April 24, 2023
PubMed

Insights

Infectious mononucleosis (IM), typically benign, rarely caused severe tracheal obstruction in a young patient. Emergency tracheostomy successfully managed this life-threatening complication.

Area of Science:

  • Infectious diseases
  • Otolaryngology
  • Pediatrics

Background:

  • Infectious mononucleosis (IM), caused by Epstein-Barr virus, is generally self-limiting in adolescents and young adults.
  • While typically benign, IM can present with rare but severe complications.

Observation:

  • A young patient with IM experienced an extremely rare, life-threatening tracheal obstruction.
  • The obstruction led to a critical airway compromise requiring immediate intervention.

Findings:

  • This case report details a near-fatal tracheal obstruction secondary to infectious mononucleosis.
  • Prompt emergency tracheostomy was crucial for the successful management of the airway obstruction.

Implications:

  • Highlights the potential for severe airway complications in IM, even in young patients.
  • Emphasizes the importance of timely recognition and emergency surgical intervention for rare IM complications.
  • Underscores the need for vigilance regarding airway management in infectious mononucleosis cases.
Keywords:
Epstein–Barr virusinfectious mononucleosistracheostomy

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