Laryngopyocoele: An unusual cause of a sore throat

Siu Fai Li, Bianca Siegel, Idaly Hidalgo, Danielle B. Weinman, Donald Yoo, David Gitler

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Laryngopyocoeles are rare entities that present as airway obstruction or as neck masses. We present a unique case of a laryngopyocoele in a young patient with a sore throat. A 22-year-old man presented to the emergency department with a sore throat of 1-week duration. He had no other upper respiratory symptoms. His vitals were as follows: heart rate, 91; respiratory rate, 16; blood pressure, 119/60; and temperature, 36.8 (98.3°F). There were no signs of respiratory distress or airway involvement. The findings from his physical examination were normal except for tenderness on palpation of his larynx. A soft tissue neck x-ray was suggestive of epiglottitis (Fig. 1). Fiberoptic laryngoscopy revealed a nonerythematous, edematous epiglottis and edema of the left arytenoid and aryepiglottic fold with slight bulging into the airway. A contrast neck computed tomography revealed a nonenhancing fluid collection at the level of the left arytenoid cartilage (Fig. 2). The diagnosis of a laryngopyocoele was made. The patient was admitted to the intensive care unit for airway monitoring and treated conservatively with intravenous antibiotics. The collection did not resolve by day 4, and the patient was taken to the operating room for incision and drainage of the laryngopyocoele. The patient made an uneventful recovery.

Original languageEnglish (US)
JournalAmerican Journal of Emergency Medicine
Volume30
Issue number8
DOIs
StatePublished - Oct 2012

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Pharyngitis
Neck
Arytenoid Cartilage
Epiglottitis
Epiglottis
Laryngoscopy
Palpation
Airway Obstruction
Operating Rooms
Respiratory Rate
Larynx
Physical Examination
Intensive Care Units
Hospital Emergency Service
Drainage
Edema
Heart Rate
Tomography
X-Rays
Anti-Bacterial Agents

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Laryngopyocoele : An unusual cause of a sore throat. / Li, Siu Fai; Siegel, Bianca; Hidalgo, Idaly; Weinman, Danielle B.; Yoo, Donald; Gitler, David.

In: American Journal of Emergency Medicine, Vol. 30, No. 8, 10.2012.

Research output: Contribution to journalArticle

Li, Siu Fai ; Siegel, Bianca ; Hidalgo, Idaly ; Weinman, Danielle B. ; Yoo, Donald ; Gitler, David. / Laryngopyocoele : An unusual cause of a sore throat. In: American Journal of Emergency Medicine. 2012 ; Vol. 30, No. 8.
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