Factors Associated With Infectious Laryngitis: A Retrospective Review of 15 Cases

Thomas, Carissa M.; Jetté, Marie E.; Clary, Matthew S.

doi:10.1177/0003489417694911

Cited by 15 publications

(22 citation statements)

References 21 publications

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“…Other studies of chronic bacterial laryngitis have shown that responsible pathogens may be similar to deep neck space infections, with Staphylococcus aureus predominating . Our data confirms this finding; however, in contrast to those previous studies, this study found an increased prevalence of MRSA in the patient population.…”

Section: Discussionmentioning

confidence: 94%

“…Unlike typical nosocomial MRSA infections, it is unknown if laryngeal MRSA infections are linked to any specific patient risk factors . Previous work has shown that the diagnosis of MRSA laryngitis can be confirmed with in‐office or operating room (OR) biopsy and culture of the true vocal fold tissue . Currently, only eight cases of MRSA laryngitis have been reported in the literature, but evidence suggests an increasing incidence …”

Section: Introductionmentioning

confidence: 99%

“…4,5 Previous work has shown that the diagnosis of MRSA laryngitis can be confirmed with inoffice or operating room (OR) biopsy and culture of the true vocal fold tissue. 4,10 Currently, only eight cases of MRSA laryngitis have been reported in the literature, but evidence suggests an increasing incidence. 3,4,10,11 Our experience in the voice disorders clinic at a tertiary care hospital is that the symptoms of laryngeal MRSA infections are subtle in comparison to typical MRSA infections seen elsewhere in the body.…”

Section: Introductionmentioning

confidence: 99%

“…4,10 Currently, only eight cases of MRSA laryngitis have been reported in the literature, but evidence suggests an increasing incidence. 3,4,10,11 Our experience in the voice disorders clinic at a tertiary care hospital is that the symptoms of laryngeal MRSA infections are subtle in comparison to typical MRSA infections seen elsewhere in the body. 12 The objective of the study at hand was to assess the incidence in MRSA laryngitis in our patient population with chronic bacterial laryngitis, evaluate potential risk factors, and help create a treatment algorithm that may be used in the management of this growing problem.…”

Section: Introductionmentioning

confidence: 99%

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MRSA chronic bacterial laryngitis: A growing problem

Carpenter

Kendall

2017

The Laryngoscope

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Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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MRSA chronic bacterial laryngitis: A growing problem

Carpenter

Kendall

2017

The Laryngoscope

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“…To date, no cases of chronic pediatric bacterial tracheitis or laryngitis have been reported in the literature. 18…”

Section: Discussionmentioning

confidence: 99%

Pediatric Bacterial Tracheitis—A Variable Entity: Case Series with Literature Review

Casazza

Graham

Nelson

et al. 2018

Otolaryngol.--head neck surg.

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Objective To review the presentation and treatment of children diagnosed with bacterial tracheitis at our institution and to review the available literature focusing on key presenting symptoms and clinical outcomes of children diagnosed with bacterial tracheitis. Study Design Case series with literature review. Setting Tertiary children’s hospital and available literature. Subjects and Methods Case series of children with bacterial tracheitis retrospectively reviewed at a tertiary children’s hospital. Those with a tracheostomy or those who developed bacterial tracheitis as a complication of prolonged intubation were excluded. Results Thirty-six children were identified (mean ± SD age, 6.7 ± 4.5 years). The most common presenting symptom was cough (85%), followed by stridor (77%) and voice changes/hoarseness (67%). A concurrent viral illness was found for 55%, and the most common bacteria cultured was methicillin-sensitive Staphylococcus aureus. Pediatric intensive care admission occurred for 69%, and 43% required intubation. No patient required tracheostomy. One patient (2.7%) died secondary to airway obstruction and subsequent respiratory arrest. Four patients had recurrence of bacterial tracheitis 4 to 12 months following their initial presentation. Conclusion Bacterial tracheitis is an uncommon condition with an atypical presentation and variable clinical course but serious consequences if left unrecognized. Staphylococcus is the most common bacteria identified, and many patients will have a prodromal viral illness. Changes in patient epidemiology and presentation may have occurred over time.

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Practical Application of Culture‐Directed Treatment for Chronic Bacterial Laryngitis

et al. 2023

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Background/ObjectivesSituated at the center of the upper aerodigestive tract, the larynx often is susceptible to a variety of insults including infection. Manifestations of laryngitis include hoarseness, cough, and sore throat, among others. The purpose of this research is to better understand the clinical presentation and patient characteristics of chronic infectious laryngitis. We aim to better understand when culture‐directed therapy should be initiated in patients presenting to the otolaryngologist with suspected chronic infectious laryngitis and how this may influence treatment outcomes.MethodsA single center, retrospective chart review was performed for patients with laryngitis of >3 weeks duration and who had positive laryngeal cultures obtained at a tertiary referral laryngology office from January 2016 through January 2023.ResultsTwenty‐four patients (ages 36–84 years) with 29 positive cultures of the larynx met inclusion criteria. Ninety percent of patients were already on acid suppression therapy prior to culture acquisition. Fifty‐five percent were immunocompromised. The most common species of bacterial growth included Klebsiella sp. (27.5%), Staphylococcus sp. (27.5%), and methicillin‐resistant staphylococcus sp. (13.7%). Twelve cultures (41.4%) revealed multiple bacterial species, and 10 cultures (34.5%) had concomitant fungal isolates. The average treatment duration was 10 days. Twenty‐one patients (72%) experienced improvement or resolution in symptoms after completion of culture‐directed therapy.ConclusionsThe use of culture‐directed therapy for chronic bacterial laryngitis was helpful in the determination of appropriate treatment in these cases. More studies are needed to determine the optimal timing of cultures, duration of treatment, and implications of concomitant fungal laryngitis.Level of Evidence4 Laryngoscope, 2023

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Factors Associated With Infectious Laryngitis: A Retrospective Review of 15 Cases

Cited by 15 publications

References 21 publications

MRSA chronic bacterial laryngitis: A growing problem

MRSA chronic bacterial laryngitis: A growing problem

Pediatric Bacterial Tracheitis—A Variable Entity: Case Series with Literature Review

Practical Application of Culture‐Directed Treatment for Chronic Bacterial Laryngitis

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