Supraglottitis Due to Herpes Simplex Virus Type 1 in an Adult
We describe a case of HSV-1 supraglottitis in an adult. A 31-year-old woman was brought to the emergency department because of "bizarre behavior" that had started that morning. She was found hitting the wall, shouting at her family, and attempting to run out of her house. A CT scan of the...
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| Veröffentlicht in: | Clinical infectious diseases 1996-02, Vol.22 (2), p.382-383 |
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| container_title | Clinical infectious diseases |
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| creator | Bengualid, Victoria Keesari, Shyam Kandiah, Vigneswaran Gitler, David Berger, Judith |
| description | We describe a case of HSV-1 supraglottitis in an adult. A 31-year-old woman was brought to the emergency department because of "bizarre behavior" that had started that morning. She was found hitting the wall, shouting at her family, and attempting to run out of her house. A CT scan of the neck showed marked edema with a soft-tissue mass surrounding and encasing the airway and pharynx. The patient was treated for acute supraglottitis with ceftriaxone and clindamycin. On hospital day 9 she underwent direct laryngoscopic examination and tracheostomy, as she had remained intubated with no improvement in her condition. The examination showed marked pharyngeal and supraglottic edema. A smooth polypoid mass measuring 2.5 cm x 2 cm was seen and biopsied. Cells that had opaque nuclei with margination of the chromatin and multinucleated giant cells (findings consistent with herpes virus infection) were seen. Viral cultures were positive for HSV-1. Bacterial cultures yielded methicillin-resistant Staphylococcus aureus. Therapy with acyclovir was started. Vancomycin therapy for a possible superimposed infection was also begun. She completed a 21-day course of acyclovir therapy and was successfully decannulated. |
| doi_str_mv | 10.1093/clinids/22.2.382 |
| format | Article |
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A 31-year-old woman was brought to the emergency department because of "bizarre behavior" that had started that morning. She was found hitting the wall, shouting at her family, and attempting to run out of her house. A CT scan of the neck showed marked edema with a soft-tissue mass surrounding and encasing the airway and pharynx. The patient was treated for acute supraglottitis with ceftriaxone and clindamycin. On hospital day 9 she underwent direct laryngoscopic examination and tracheostomy, as she had remained intubated with no improvement in her condition. The examination showed marked pharyngeal and supraglottic edema. A smooth polypoid mass measuring 2.5 cm x 2 cm was seen and biopsied. Cells that had opaque nuclei with margination of the chromatin and multinucleated giant cells (findings consistent with herpes virus infection) were seen. Viral cultures were positive for HSV-1. Bacterial cultures yielded methicillin-resistant Staphylococcus aureus. Therapy with acyclovir was started. Vancomycin therapy for a possible superimposed infection was also begun. She completed a 21-day course of acyclovir therapy and was successfully decannulated.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1093/clinids/22.2.382</identifier><identifier>PMID: 8838209</identifier><identifier>CODEN: CIDIEL</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>Acyclovir - therapeutic use ; Adult ; Antiviral Agents - therapeutic use ; Biological and medical sciences ; Brief Reports ; Edema ; Epiglottitis - complications ; Epiglottitis - drug therapy ; Female ; Glottis - virology ; Herpes Simplex - complications ; Herpes Simplex - drug therapy ; herpes simplex virus 1 ; Herpesvirus 1, Human - isolation & purification ; Human herpesvirus 1 ; Human viral diseases ; Humans ; Hypothyroidism ; Hypothyroidism - complications ; Infections ; Infectious diseases ; Medical sciences ; Patient assessment ; Pharynx - virology ; Viral diseases ; Viral diseases of the respiratory system and ent viral diseases</subject><ispartof>Clinical infectious diseases, 1996-02, Vol.22 (2), p.382-383</ispartof><rights>Copyright 1996 The University of Chicago</rights><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-8910c666ebf38877bb36d6faf829b1c09dde7054dbc67b8aed7abd8144dc52fa3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/4459257$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/4459257$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27901,27902,57992,58225</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2993086$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8838209$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bengualid, Victoria</creatorcontrib><creatorcontrib>Keesari, Shyam</creatorcontrib><creatorcontrib>Kandiah, Vigneswaran</creatorcontrib><creatorcontrib>Gitler, David</creatorcontrib><creatorcontrib>Berger, Judith</creatorcontrib><title>Supraglottitis Due to Herpes Simplex Virus Type 1 in an Adult</title><title>Clinical infectious diseases</title><addtitle>Clinical Infectious Diseases</addtitle><description>We describe a case of HSV-1 supraglottitis in an adult. A 31-year-old woman was brought to the emergency department because of "bizarre behavior" that had started that morning. She was found hitting the wall, shouting at her family, and attempting to run out of her house. A CT scan of the neck showed marked edema with a soft-tissue mass surrounding and encasing the airway and pharynx. The patient was treated for acute supraglottitis with ceftriaxone and clindamycin. On hospital day 9 she underwent direct laryngoscopic examination and tracheostomy, as she had remained intubated with no improvement in her condition. The examination showed marked pharyngeal and supraglottic edema. A smooth polypoid mass measuring 2.5 cm x 2 cm was seen and biopsied. Cells that had opaque nuclei with margination of the chromatin and multinucleated giant cells (findings consistent with herpes virus infection) were seen. Viral cultures were positive for HSV-1. Bacterial cultures yielded methicillin-resistant Staphylococcus aureus. Therapy with acyclovir was started. Vancomycin therapy for a possible superimposed infection was also begun. She completed a 21-day course of acyclovir therapy and was successfully decannulated.</description><subject>Acyclovir - therapeutic use</subject><subject>Adult</subject><subject>Antiviral Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Brief Reports</subject><subject>Edema</subject><subject>Epiglottitis - complications</subject><subject>Epiglottitis - drug therapy</subject><subject>Female</subject><subject>Glottis - virology</subject><subject>Herpes Simplex - complications</subject><subject>Herpes Simplex - drug therapy</subject><subject>herpes simplex virus 1</subject><subject>Herpesvirus 1, Human - isolation & purification</subject><subject>Human herpesvirus 1</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Hypothyroidism</subject><subject>Hypothyroidism - complications</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Patient assessment</subject><subject>Pharynx - virology</subject><subject>Viral diseases</subject><subject>Viral diseases of the respiratory system and ent viral diseases</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1v1DAQhi1U1JbCnQNIPiBu2fojtseHHtrlY5EqIWipql4sx3Yql2yS2o7U_nsCG-2V04zmeeY9vAi9pWRFieanrot99PmUsRVbcWAv0DEVXFVSaHow70RAVQOHI_Qq5wdCKAUiDtEhzDdG9DE6u5rGZO-7oZRYYsafpoDLgDchjSHjq7gdu_CEb2KaMr5-HgOmOPbY9vjcT115jV62tsvhzTJP0K8vn6_Xm-ry-9dv6_PLytVClAo0JU5KGZqWAyjVNFx62doWmG6oI9r7oIiofeOkasAGr2zjgda1d4K1lp-gj7vcMQ2PU8jFbGN2oetsH4YpGwVc1wLYf0UqBAglySySnejSkHMKrRlT3Nr0bCgxf6s1S7WGMcMM_5f9fsmemm3w-4ely5l_WLjNznZtsr2Lea8xrTkBOWvvdtpDLkPa47oWmgk142qHYy7haY9t-m2k4kqYze2d-XEBm7ufa26A_wFlbJrx</recordid><startdate>19960201</startdate><enddate>19960201</enddate><creator>Bengualid, Victoria</creator><creator>Keesari, Shyam</creator><creator>Kandiah, Vigneswaran</creator><creator>Gitler, David</creator><creator>Berger, Judith</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>19960201</creationdate><title>Supraglottitis Due to Herpes Simplex Virus Type 1 in an Adult</title><author>Bengualid, Victoria ; Keesari, Shyam ; Kandiah, Vigneswaran ; Gitler, David ; Berger, Judith</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-8910c666ebf38877bb36d6faf829b1c09dde7054dbc67b8aed7abd8144dc52fa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Acyclovir - therapeutic use</topic><topic>Adult</topic><topic>Antiviral Agents - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Brief Reports</topic><topic>Edema</topic><topic>Epiglottitis - complications</topic><topic>Epiglottitis - drug therapy</topic><topic>Female</topic><topic>Glottis - virology</topic><topic>Herpes Simplex - complications</topic><topic>Herpes Simplex - drug therapy</topic><topic>herpes simplex virus 1</topic><topic>Herpesvirus 1, Human - isolation & purification</topic><topic>Human herpesvirus 1</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Hypothyroidism</topic><topic>Hypothyroidism - complications</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Patient assessment</topic><topic>Pharynx - virology</topic><topic>Viral diseases</topic><topic>Viral diseases of the respiratory system and ent viral diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bengualid, Victoria</creatorcontrib><creatorcontrib>Keesari, Shyam</creatorcontrib><creatorcontrib>Kandiah, Vigneswaran</creatorcontrib><creatorcontrib>Gitler, David</creatorcontrib><creatorcontrib>Berger, Judith</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bengualid, Victoria</au><au>Keesari, Shyam</au><au>Kandiah, Vigneswaran</au><au>Gitler, David</au><au>Berger, Judith</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Supraglottitis Due to Herpes Simplex Virus Type 1 in an Adult</atitle><jtitle>Clinical infectious diseases</jtitle><addtitle>Clinical Infectious Diseases</addtitle><date>1996-02-01</date><risdate>1996</risdate><volume>22</volume><issue>2</issue><spage>382</spage><epage>383</epage><pages>382-383</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><coden>CIDIEL</coden><abstract>We describe a case of HSV-1 supraglottitis in an adult. A 31-year-old woman was brought to the emergency department because of "bizarre behavior" that had started that morning. She was found hitting the wall, shouting at her family, and attempting to run out of her house. A CT scan of the neck showed marked edema with a soft-tissue mass surrounding and encasing the airway and pharynx. The patient was treated for acute supraglottitis with ceftriaxone and clindamycin. On hospital day 9 she underwent direct laryngoscopic examination and tracheostomy, as she had remained intubated with no improvement in her condition. The examination showed marked pharyngeal and supraglottic edema. A smooth polypoid mass measuring 2.5 cm x 2 cm was seen and biopsied. Cells that had opaque nuclei with margination of the chromatin and multinucleated giant cells (findings consistent with herpes virus infection) were seen. Viral cultures were positive for HSV-1. Bacterial cultures yielded methicillin-resistant Staphylococcus aureus. Therapy with acyclovir was started. Vancomycin therapy for a possible superimposed infection was also begun. She completed a 21-day course of acyclovir therapy and was successfully decannulated.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>8838209</pmid><doi>10.1093/clinids/22.2.382</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Clinical infectious diseases, 1996-02, Vol.22 (2), p.382-383 |
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| source | Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Acyclovir - therapeutic use Adult Antiviral Agents - therapeutic use Biological and medical sciences Brief Reports Edema Epiglottitis - complications Epiglottitis - drug therapy Female Glottis - virology Herpes Simplex - complications Herpes Simplex - drug therapy herpes simplex virus 1 Herpesvirus 1, Human - isolation & purification Human herpesvirus 1 Human viral diseases Humans Hypothyroidism Hypothyroidism - complications Infections Infectious diseases Medical sciences Patient assessment Pharynx - virology Viral diseases Viral diseases of the respiratory system and ent viral diseases |
| title | Supraglottitis Due to Herpes Simplex Virus Type 1 in an Adult |
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