Supraglottik kitle şeklinde bulgu veren larengeal herpes

Abstract

Supraglottik kitle fleklinde bulgu veren larengeal herpesBu yaz›m›zda klinik olarak larenksin yayg›n neoplazilerine benzeyen, herpes tutulumu sunuyoruz. ‹lk de¤erlendirilmesinde larengeal malignite düflünülen, immun sistemi sa¤lam olan eriflkin hastan›n Herpes simpleks virüs taraf›ndan oluflturulan supraglottik kitlesine do¤ru tan› biyopsi sonucu konuldu. Erken tan› ve do¤ru de¤erlendirme, hayat› tehdit edebilen solunum s›k›nt›lar›n›n ve yanl›fl cerrahi tekniklerin uygulanmas›n› önlemede gereklidir. Herpes virüse ba¤l› supraglottitis olgular›na literatürde de oldukça az rastlanm›flt›r. Herpetik enfeksiyonlar›n larenksi tutma oranlar› hakk›nda net rakamlar verilememektedir. Kesin tan› için klinik flüphe ve virüsün varl›¤›n› göstermeye yönelik özel metodlar gereklidir. AbstractThe goal of this paper is to report an interesting case of laryngeal involvement by herpes virus, showing a clinical aspect very alike to an extense neoplasm of this region. We describe a case of supraglottic mass caused by Herpes simplex virus in an immune-competent adult in which the correct diagnosis was not suspected at the first examination. At first we suspected laryngeal malignancy. A biopsy specimen revealed exact diagnosis. Early suspicion and proper evaluation are mandatory to prevent a life-threatening crisis and false surgery technique. Supraglottitis due to Herpes simplex virus is especially rare entity with few reported cases in literature. True incidence of herpetic infections of the larynx is unknown. Accurate diagnosis requires clinical suspicion and highly specific method of confirming the presence of the virus.