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Chronic Pharyngitis

Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...

Acute Pharyngitis

Acute Pharyngitis

Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:

Larynx

Larynx

The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
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Tonsillitis I: Introduction

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Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
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Pneumonia I: Introduction

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Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
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Tonsillitis II: Management

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This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.

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Subacute Epiglottitis Causing Polypoid Laryngeal and Glottic Masses.

Juan Lopez Tiboni¹, Celyn Idami¹, Michael Rehr¹

¹Internal Medicine Pennsylvania Hospital.

The Brown Journal of Hospital Medicine

|March 6, 2025

Summary

A rare case of bacterial epiglottitis caused by group G Streptococcus mimicked a laryngeal mass. Prompt antibiotic treatment led to complete resolution and recovery.

Keywords:

Group G Streptococcus Laryngeal Polyps epiglottitis

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Area of Science:

Otolaryngology
Infectious Diseases
Pulmonology

Background:

Airway obstruction in elderly patients can be caused by various conditions.
Laryngeal masses and supraglottic edema can present with shortness of breath and dysphagia.
Group G Streptococcus is a less common cause of epiglottitis.

Observation:

A 72-year-old woman with COPD, diabetes, and smoking history presented with progressive dyspnea, dysphagia, and stridor.
Laryngoscopy revealed a glottic mass with supraglottic edema; biopsy showed only inflammation.
Patient developed fever with positive blood and sputum cultures for group G Streptococcus.

Findings:

Initial biopsy was inconclusive for malignancy, showing only acute inflammation.
Antibiotic therapy for group G Streptococcus infection resulted in complete resolution of the laryngeal mass.
Clinical diagnosis of bacterial epiglottitis due to group G Streptococcus was established.

Implications:

Bacterial epiglottitis can present atypically, mimicking a laryngeal neoplasm.
Early identification and antibiotic treatment are crucial for managing bacterial epiglottitis.
This case highlights the importance of considering infectious etiologies in obstructive laryngeal lesions.