Laryngeal Herpes

Pinto, José Antônio; Pinto, Henrique Cesar Felippu; Ramalho, Jeanne da Rosa Oiticica

doi:10.1016/s0892-1997(02)00131-5

Cited by 27 publications

(2 citation statements)

References 2 publications

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“…HSV is a rare cause of laryngitis, with few reported proven cases in adults. Herpes viruses account for about 1% of cases of laryngitis [ 6 ]. Acute HSV laryngitis manifestation is either local or a part of disseminated HSV disease.…”

Section: Discussionmentioning

confidence: 99%

“…The local disease can be due to the extension of infection from the adjoining areas or reactivation and spread via the vagus nerve [ 7 ]. Risk factors for acute HSV laryngitis include middle-aged to elderly patients (mean age of 51), immunosuppression, defective cell-mediated immunity, malnutrition, tobacco smoking, severe burns, hepatitis, inhaled corticosteroids, and superimposed respiratory infections [ 2 , 6 , 8 ]. Clinical features are variable and nonspecific, with an acute or subacute presentation, including dysphonia, dysphagia, odynophagia, dyspnea, stridor, and cough [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

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Acute Herpes Simplex Virus Laryngitis Presenting as Airway Obstruction Post Influenza: A Viral Pneumonia

Boyd,

Patil,

Sinclair

et al. 2023

Cureus

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Herpes simplex virus (HSV) typically presents with mucocutaneous or genital ulcerations but can also manifest with central nervous system involvement and occasionally other visceral or mucosal sites. However, laryngeal involvement almost exclusively presents in infants and children. Very few confirmed adult cases have been reported. Adults present with a broad spectrum of symptoms, usually in the context of significant immunocompromise. Diagnosis is difficult given a wide spectrum of nonspecific presenting symptoms and usually requires tissue biopsy. Frequently, patients have severe laryngeal edema that threatens to compromise the airway and requires tracheostomy. We present a case of HSV laryngitis in a 71-year-old female who presented with septic shock, acute renal failure, and acute hypoxic respiratory failure secondary to Influenza A and bacterial pneumonia for which she required intubation. The hospitalization course included extubation failures due to stridor, a positive cuff leak test resulting in an open tracheostomy, and a laryngeal biopsy confirming HSV infection, which was successfully treated with acyclovir.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Acute Herpes Simplex Virus Laryngitis Presenting as Airway Obstruction Post Influenza: A Viral Pneumonia

Boyd,

Patil,

Sinclair

et al. 2023

Cureus

View full text Add to dashboard Cite

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Pharyngolaryngeal Zoster

Chen

Lin²,

Huang³

2012

Arch Otolaryngol Head Neck Surg

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Varicella zoster virus infection of the pharynx and larynx with multiple cranial neuropathies

2011

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Varicella zoster virus (VZV) infection of the head and neck region may present with various clinical symptoms, involving different entities and different routes of viral spreading. We present a case of VZV infection of the pharynx and larynx with multiple cranial nerve (CN) neuropathies (CN VII, VIII, IX, and X) of a 52-year-old woman who complained of the sudden onset of hoarseness, odynophagia, dysphagia, and hearing loss in the left ear, followed by left-side facial weakness lasting for 1 week. Endoscopic examination revealed multiple mucosal erosions over the oropharynx, with extension upward to the nasopharynx and downward to the mucosa overlying the epiglottis, arytenoid, and vocal cord. All of these lesions tended to lateralize to the left side, suggesting a VZV infection diagnosis; this was confirmed by polymerase chain reaction on eruptional exudates, as well as serologic examination.

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Laryngeal Herpes

Cited by 27 publications

References 2 publications

Acute Herpes Simplex Virus Laryngitis Presenting as Airway Obstruction Post Influenza: A Viral Pneumonia

Acute Herpes Simplex Virus Laryngitis Presenting as Airway Obstruction Post Influenza: A Viral Pneumonia

Pharyngolaryngeal Zoster

Varicella zoster virus infection of the pharynx and larynx with multiple cranial neuropathies

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