Multipathogenic necrotising supraglottitis in an immunocompetent patient.

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Multipathogenic necrotising supraglottitis in an immunocompetent patient.

BMJ Case Rep. 2017 Jun 18;2017:

Authors: Ahmed JJ, Constable JD, Kamani T, De M

Abstract
Supraglottitis is a potentially life-threatening condition. It is now uncommon due to the Haemophilus influenzae type B vaccination and is more recently caused by Streptococcus pneumoniae, S. pyogenes, H. influenzae 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 patient’s immunocompetency.

PMID: 28630241 [PubMed - indexed for MEDLINE]

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