Refractory and Relapsing Laryngeal Edema Possibly Associated With Chronic Tonsillitis and Mycoplasma Infection, Requiring Reintubation and Tracheostomy
Relapsing epiglottitis has rarely been reported, and its etiology is not well established. A 44-year-old previously healthy Japanese man presented with a quickly progressing choking sensation. He had been experiencing refractory and relapsing laryngeal edema and probably acute epiglottitis (three ep...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/carm/6638796 |
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| author | Yutaka Tsukamoto Takashi Sugimoto Masataka Umeda Yuki Furuse Haruo Yoshida Yuka Nagae Yasuo Ohsato Yukitaka Ueki Maeda Takahiro Koya Ariyoshi |
| author_facet | Yutaka Tsukamoto Takashi Sugimoto Masataka Umeda Yuki Furuse Haruo Yoshida Yuka Nagae Yasuo Ohsato Yukitaka Ueki Maeda Takahiro Koya Ariyoshi |
| author_sort | Yutaka Tsukamoto |
| collection | DOAJ |
| description | Relapsing epiglottitis has rarely been reported, and its etiology is not well established. A 44-year-old previously healthy Japanese man presented with a quickly progressing choking sensation. He had been experiencing refractory and relapsing laryngeal edema and probably acute epiglottitis (three episodes within 2 weeks), with rash and elevated pancreatic amylase. The patient required immediate intubation. After the initial extubation, he required reintubation and a subsequent tracheostomy. Antibiotics, glucocorticoid, and antihistamines were administered, and he finally recovered with the tracheostomy’s closure. Potential causes of this patient’s relapsing epiglottitis are as follows: persistent right swollen tonsil; a positive result on a Mycoplasma pneumoniae antigen test and a particle agglutination (PA) test, implicating chronic tonsillitis; and/or Mycoplasma infection. This is the first case report of refractory and relapsing epiglottitis requiring reintubation possibly concurrent with chronic tonsillitis and Mycoplasma infection. |
| format | Article |
| id | doaj-art-6b9bbcb56d6d499584597e6c749839d6 |
| institution | Kabale University |
| issn | 1687-9635 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-6b9bbcb56d6d499584597e6c749839d62025-01-12T00:00:01ZengWileyCase Reports in Medicine1687-96352025-01-01202510.1155/carm/6638796Refractory and Relapsing Laryngeal Edema Possibly Associated With Chronic Tonsillitis and Mycoplasma Infection, Requiring Reintubation and TracheostomyYutaka Tsukamoto0Takashi Sugimoto1Masataka Umeda2Yuki Furuse3Haruo Yoshida4Yuka Nagae5Yasuo Ohsato6Yukitaka Ueki7Maeda Takahiro8Koya Ariyoshi9Department of Clinical MedicineDepartment of Clinical MedicineDepartment of Immunology and RheumatologyMedical Education Development CenterDepartment of Otolaryngology-Head and Neck SurgeryDepartment of Respiratory MedicineDepartment of OtolaryngologyRheumatic and Collagen Disease CenterDepartment of General MedicineDepartment of Clinical MedicineRelapsing epiglottitis has rarely been reported, and its etiology is not well established. A 44-year-old previously healthy Japanese man presented with a quickly progressing choking sensation. He had been experiencing refractory and relapsing laryngeal edema and probably acute epiglottitis (three episodes within 2 weeks), with rash and elevated pancreatic amylase. The patient required immediate intubation. After the initial extubation, he required reintubation and a subsequent tracheostomy. Antibiotics, glucocorticoid, and antihistamines were administered, and he finally recovered with the tracheostomy’s closure. Potential causes of this patient’s relapsing epiglottitis are as follows: persistent right swollen tonsil; a positive result on a Mycoplasma pneumoniae antigen test and a particle agglutination (PA) test, implicating chronic tonsillitis; and/or Mycoplasma infection. This is the first case report of refractory and relapsing epiglottitis requiring reintubation possibly concurrent with chronic tonsillitis and Mycoplasma infection.http://dx.doi.org/10.1155/carm/6638796 |
| spellingShingle | Yutaka Tsukamoto Takashi Sugimoto Masataka Umeda Yuki Furuse Haruo Yoshida Yuka Nagae Yasuo Ohsato Yukitaka Ueki Maeda Takahiro Koya Ariyoshi Refractory and Relapsing Laryngeal Edema Possibly Associated With Chronic Tonsillitis and Mycoplasma Infection, Requiring Reintubation and Tracheostomy Case Reports in Medicine |
| title | Refractory and Relapsing Laryngeal Edema Possibly Associated With Chronic Tonsillitis and Mycoplasma Infection, Requiring Reintubation and Tracheostomy |
| title_full | Refractory and Relapsing Laryngeal Edema Possibly Associated With Chronic Tonsillitis and Mycoplasma Infection, Requiring Reintubation and Tracheostomy |
| title_fullStr | Refractory and Relapsing Laryngeal Edema Possibly Associated With Chronic Tonsillitis and Mycoplasma Infection, Requiring Reintubation and Tracheostomy |
| title_full_unstemmed | Refractory and Relapsing Laryngeal Edema Possibly Associated With Chronic Tonsillitis and Mycoplasma Infection, Requiring Reintubation and Tracheostomy |
| title_short | Refractory and Relapsing Laryngeal Edema Possibly Associated With Chronic Tonsillitis and Mycoplasma Infection, Requiring Reintubation and Tracheostomy |
| title_sort | refractory and relapsing laryngeal edema possibly associated with chronic tonsillitis and mycoplasma infection requiring reintubation and tracheostomy |
| url | http://dx.doi.org/10.1155/carm/6638796 |
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