Supraglottitis Due to Herpes Simplex Virus Type 1 in an Adult

Bengualid, Victoria; Keesari, Shyam; Kandiah, Vigneswaran; Gitler, David; Berger, Judith

doi:10.1093/clinids/22.2.382

Cited by 20 publications

(9 citation statements)

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“…Adults with HSV laryngitis may initially present to their primary care physician with nonspecific symptoms, followed by an ED presentation for progressive shortness of breath, stridor, hoarseness, dysphagia, and odynophagia. As demonstrated in Table , patients can rapidly decompensate and may require intubation or tracheotomy to secure their airway. In our review of cases, patients demonstrated a rapid resolution of symptoms with antiviral treatment; thus, timely consideration and identification of herpetic laryngitis may avoid unnecessary airway manipulation.…”

Section: Discussionmentioning

confidence: 99%

“…Specifically on laryngoscopy, the described findings range from the expected ulceration to more generalized inflammation, obstructive proliferation, and even mass‐like nodular swellings mimicking tumor. This variability has led to unnecessary airway manipulation and patient morbidity due to delay in diagnosis and lack of appropriate antiviral treatment . For this reason, we advocate early diagnostic biopsy of unusual or poorly responsive laryngeal lesions for pathology and microbiology (including virology) studies.…”

Section: Discussionmentioning

confidence: 99%

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Proliferative laryngitis with airway obstruction in an adult: Consider herpes

et al. 2015

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Few cases of herpes simplex virus (HSV) affecting the larynx have been reported in the literature. Although HSV laryngitis appears to present with nonspecific symptoms, this is a potentially serious condition that can rapidly progress to unnecessary morbidity and mortality if not identified and treated accordingly. We report a case of HSV laryngitis in an individual with well controlled human immunodeficiency virus infection and perform a comprehensive literature review of HSV laryngitis in adults. From this case report and review of the literature, we advocate early diagnostic biopsy of unusual or poorly responsive laryngeal lesions for pathology, culture, and virology studies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Proliferative laryngitis with airway obstruction in an adult: Consider herpes

et al. 2015

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“…[1] One case of supraglottitis due to HSV has been reported in an adult who presented with respiratory distress requiring intubation developing over a period of few hours. [2] Also in adults, chronic herpes simplex infection of the larynx presenting as laryngeal mass, [3,4] herpetic laryngitis with concurrent candidial infection, [5] necrotic mass involving the glottis, and requiring total laryngectomy due to extensive cartilage destruction have been reported in the literature. [6] The chronic form of herpetic laryngeal infection is most commonly seen in immunocompromised patients.…”

Section: Discussionmentioning

confidence: 99%

Herpes simplex laryngitis following primary genital herpes

et al. 2013

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“…4 Supraglottitis in adults remains an unusual occurrence; only 10 cases per 1 million individuals are reported. 5 Also the association of viral aetiology and supraglottitis is extremely rare.…”

Section: Discussionmentioning

confidence: 99%

Supraglottik kitle şeklinde bulgu veren larengeal herpes

2010

Turk Arch Otolaryngol

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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.

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Supraglottitis Due to Herpes Simplex Virus Type 1 in an Adult

Cited by 20 publications

References 0 publications

Proliferative laryngitis with airway obstruction in an adult: Consider herpes

Proliferative laryngitis with airway obstruction in an adult: Consider herpes

Herpes simplex laryngitis following primary genital herpes

Supraglottik kitle şeklinde bulgu veren larengeal herpes

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