Cases reported "Laryngitis"

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1/10. adult herpetic laryngitis with concurrent candidal infection: a case report and literature review.

    Rarely, adult herpetic laryngitis without involvement of the oropharynx has been reported. However, to our knowledge, laryngitis caused by herpes simplex virus with coexisting candida albicans has not been reported. We report what we believe to be the first case of localized herpetic laryngitis superimposed by laryngeal Candida species infection in an immunosuppressed patient. This diagnosis was made on the basis of the findings of a laryngeal mucosal biopsy and ancillary testing using fungal stains and immunohistochemical stains for herpetic antigens. We also review the literature and discuss the clinical and diagnostic presentations, including potential pitfalls in the diagnosis.
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ranking = 1
keywords = herpes simplex, herpes, simplex
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2/10. herpes simplex viral laryngitis.

    The true incidence of herpetic infections of the larynx is unknown. This entity may be underreported because of the difficulty in establishing the diagnosis. This report describes an immune-competent patient in whom extubation failed because of mass lesions of the posterior glottis. A biopsy specimen of the lesions revealed herpes simplex virus. We review the clinical presentation and histopathologic findings in this patient.
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ranking = 1.5040867534057
keywords = herpes simplex, herpes, simplex
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3/10. Laryngeal herpes: a case report.

    Herpetic laryngitis is a rare inflammatory disease caused by herpes simplex or herpes zoster virus. The propensity for spreading along peripheral nerves and within the central nervous system, with frank herpetic meningoencephalitis, is a rare complication. We present one case of herpetic laryngitis by reactivation of varicella zoster, with central nervous system spreading, and discuss the relevant literature on the pathophysiology, diagnosis, evaluation, and management of this disease.
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ranking = 1.745200359141
keywords = herpes simplex, herpes, simplex
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4/10. herpes zoster laryngis with prelaryngeal skin erythema.

    A 74-year-old man came to our hospital with complete left vocal cord paralysis and erythema of the prelaryngeal skin. The patient also had mucosal swelling and erosions in the left arytenoid cartilage, aryepiglottic fold, and pyriform sinus. Herpetic vesicles developed over the prelaryngeal erythema 4 days after admission. An increase in the varicella-zoster immunoglobulin g level to 3,294 IU/mL confirmed varicella-zoster virus infection of the larynx and prelaryngeal skin. The patient was treated with acyclovir without marked effect. Nevertheless, in cases of unilateral vocal cord paralysis and erythema of the ipsilateral prelaryngeal skin, we advise that herpes zoster laryngis must be considered and treatment with early intravenous acyclovir started.
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ranking = 0.1490400718282
keywords = herpes
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5/10. Upper airway obstruction in association with perinatally acquired herpes simplex virus infection.

    Two cases of neonatal upper respiratory tract obstruction caused by herpes simplex virus are described. infection of the upper respiratory tract with this virus should be included in the differential diagnosis of fever and stridor during the neonatal period.
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ranking = 5
keywords = herpes simplex, herpes, simplex
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6/10. adult supraglottitis due to herpes simplex virus.

    Changes in the concepts regarding epiglottis have occurred over the last two decades. Supraglottis, once thought to occur exclusively in the pediatric population, is now recognized in adults. Supraglottis is a well-defined syndrome usually caused by a bacterial infection by haemophilus influenzae type b. Recently, other organisms have been implicated as etiologic agents in cases of supraglottitis. Documented viral supraglottitis is very rare, and adult supraglottitis due to herpes simplex virus-I has not been reported to our knowledge.
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ranking = 5
keywords = herpes simplex, herpes, simplex
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7/10. Acute viral laryngotracheitis complicated by herpes simplex virus infection.

    We report the development of HSV-1 laryngotracheitis during the resolution phase of typical viral laryngotracheobronchitis (LTB) in an infant. This case represents an uncommon complication of viral LTB which has previously been described only at autopsy and suggests that prolonged use of systemic corticosteroids may lead to secondary infections, such as HSV-1. Therefore, we recommend that corticosteroid therapy for LTB be limited to 48 degrees in duration. This case also demonstrates that when an atypical clinical course is being followed by a patient who has LTB, then early diagnostic intervention is indicated. If HSV-1 is identified, anti-viral chemotherapy should be initiated and artificial airway management may be necessary. Tracheal intubation may be used, but, if extensive subglottic ulceration occurs, the subglottis should be bypassed in order that the chance of subglottic stenosis be minimized. In this case, early identification by bronchoscopy and viral cultures resulted in a successful combined medical-surgical management and total resolution with no sequelae.
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ranking = 4
keywords = herpes simplex, herpes, simplex
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8/10. Chronic herpetic laryngitis with oropharyngitis.

    Chronic herpetic laryngitis, with or without involvement of the oropharynx, is uncommon. We describe a case that was initially diagnosed and treated as squamous cell carcinoma. The subsequent course of the disease, review of the histologic material, and additional laboratory investigation suggested that the lesion was of viral origin and probably was caused by herpes simplex.
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ranking = 1
keywords = herpes simplex, herpes, simplex
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9/10. herpes simplex chronic laryngitis and vocal cord lesions in a patient with acquired immunodeficiency syndrome.

    Chronic laryngitis in patients with acquired immunodeficiency syndrome may be due to infections or tumors, such as Kaposi's sarcoma and non-Hodgkin's lymphoma. We present what we believe to be the first proven case of herpes simplex virus chronic laryngitis in a man positive for human immunodeficiency virus. Direct laryngoscopy showed leukoplakic lesions on both vocal cords. biopsy of the lesions showed squamous epithelial cells with the characteristic features of herpes simplex virus, which was confirmed by immunohistochemical stains. We discuss the differential diagnosis of chronic laryngitis in a human immunodeficiency virus infection. herpes simplex viral infection of the vocal cords should be considered in patients with acquired immunodeficiency syndrome presenting with chronic hoarseness and leukoplakic lesions on direct laryngoscopy, especially with no evidence of Kaposi's sarcoma, tumor, or cytomegaloviral or fungal infection elsewhere. Treatment should be acyclovir, except in the face of acyclovir resistance.
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ranking = 2.6301084417571
keywords = herpes simplex, herpes, simplex
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10/10. Herpes laryngitis and tracheitis causing respiratory distress in a neonate.

    A newborn presented 1 week after birth with the sudden onset of stridor and respiratory distress. At endoscopy, the supraglottic and subglottic tissues were edematous and erythematous, and numerous plaquelike ulcers were seen on the mucosal surface. Cultures of the lesions yielded herpes simplex virus type 2. The infant required a prolonged course of acyclovir and remained intubated for 31 days, but ultimately had both virological and clinical cure. Evaluation and further treatment of this unusual presentation of herpes simplex virus are discussed, as are the implications of herpes infections in neonates.
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ranking = 2.1490400718282
keywords = herpes simplex, herpes, simplex
(Clic here for more details about this article)
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