Pseudomembranous necrotising pharyngitis in a child with<i>Pseudomonas aeruginosa</i>bacteraemia

Yuen, Angela; Ng, Daniel K.; Chow, Pok-yu

doi:10.1179/027249309x12467994694175

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…We postulate that our patient had a lymphoid hyperplasia and became superinfected with P. aeruginosa causing a localized nasopharyngeal inflammatory mass with some obstructed oropharynx due to the accumulation of extensive secretions and debris [22] that was unable to be cleared. No cases of P. aeruginosa causing such an inflammatory nasopharyngeal mass could be found previously reported in the literature.…”

Section: Discussionmentioning

confidence: 97%

Pseudomonas aeruginosa causing inflammatory mass of the nasopharynx in an immunocompromised HIV infected patient: A mimic of malignancy

Gale

Maritato

Chen

et al. 2015

IDCases

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Head and neck manifestations of acquired immunodeficiency syndrome are among the most common complications of this disease. The sinonasal and oral manifestations are more common that the otologic and range from malignancies to infectious processes caused by both opportunistic and nonopportunistic organisms. We report the case of a nasopharyngeal mass of infectious etiology in a severely immunocompromised HIV infected patient. The patient was admitted with a presumptive diagnosis of infectious gastroenteritis and was found to have a nasopharyngeal mass. The mass was extending into the oropharynx and paravertebral soft tissues and was associated with extensive secretions causing near complete occlusion of the oropharynx. CT scan findings favored malignant verses infectious etiology. The surgical biopsy performed twice ruled out malignancy and the bacterial culture proved to be a pure growth of Pseudomonas aeruginosa. Pseudomonas can inhabit the nasopharynx and lower digestive tract, and is only occasionally associated with causing disease in non-susceptible patients but is a common infection in immunocompromised patients. To the best of our knowledge, and after considering the current literature, we believe this case is unique. We discuss this rare entity and its management. Clinicians should be aware of this potential life threatening condition in the HIV population and add P. aeruginosa infection to the differential diagnosis of an acute inflammatory nasopharyngeal mass.

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Section: Discussionmentioning

confidence: 97%

Pseudomonas aeruginosa causing inflammatory mass of the nasopharynx in an immunocompromised HIV infected patient: A mimic of malignancy

Gale

Maritato

Chen

et al. 2015

IDCases

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Pseudomonas aeruginosa sepsis with ecthyma gangrenosum and pseudomembranous pharyngolaryngitis in a 5-month-old boy

Fang

Peng

Chi

et al. 2014

Journal of Microbiology, Immunology and Infection

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Pseudomonas aeruginosa infection that induced pseudomembranous laryngopharyngitis and ecthyma gangrenosum simultaneously in a healthy infant is rare. We reported on a previously healthy 5-month-old boy with initial presentation of fever and diarrhea followed by stridor and progressive respiratory distress. P. aeruginosa sepsis was suspected because ecthyma gangrenosum over the right leg was found at the emergency department, and the diagnosis was confirmed by the blood culture. Fiberscope revealed bacterial pharyngolaryngitis without involvement of the trachea. Because of early recognition and adequate treatment, including antimicrobial therapy, noninvasive ventilation, incision, and drainage, he recovered completely without any complications.

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Pseudomembranous necrotising pharyngitis in a child withPseudomonas aeruginosabacteraemia

Cited by 2 publications

References 5 publications

Pseudomonas aeruginosa causing inflammatory mass of the nasopharynx in an immunocompromised HIV infected patient: A mimic of malignancy

Pseudomonas aeruginosa causing inflammatory mass of the nasopharynx in an immunocompromised HIV infected patient: A mimic of malignancy

Pseudomonas aeruginosa sepsis with ecthyma gangrenosum and pseudomembranous pharyngolaryngitis in a 5-month-old boy

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