European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
Atypical laryngeal dyspnoea with life-threatening obstruction: a case report.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
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Bachard Aurélia, Culié Dorian, Villarmé Agathe, Gazda Pierre, Andrieux Thomas, Volondat Manuelle, Bozec Alexandre, Poissonnet Gilles
Аннотация
INTRODUCTION: Vertebral spondylodiscitis is a rare condition at the level of the cervical spine that can be deadly because of its potential complications. We present a rare case of acute laryngeal dyspnoea resulting from a cervical spine spondylodiscitis (CSS) with an underlying oesophageal fistula.
CASE REPORT: A 70 year-old-man presented with swallowing disorders, dysphonia and laryngeal dyspnoea one day after a revision surgery for abdominal bowel evisceration. The MRI showed a multilevel spondylodiscitis extending from C4 to C7, associated with epiduritis and an anterior epidural abscess causing spinal cord compression. The treatment included temporary tracheotomy, the wearing of a cervical collar, intravenous broad-spectrum antibiotics during 6 weeks and the interruption of food oral intake. The patient showed a good clinical improvement.
CONCLUSION: Special attention should be given to a fever or neck pain in patients with risk factors of CSS, such as history of head and neck cancer treated with radiotherapy. An urgent treatment is required to avoid complications such as compression of the recurrent laryngeal nerves, either a conservative one with antibiotics or a surgical one.
CASE REPORT: A 70 year-old-man presented with swallowing disorders, dysphonia and laryngeal dyspnoea one day after a revision surgery for abdominal bowel evisceration. The MRI showed a multilevel spondylodiscitis extending from C4 to C7, associated with epiduritis and an anterior epidural abscess causing spinal cord compression. The treatment included temporary tracheotomy, the wearing of a cervical collar, intravenous broad-spectrum antibiotics during 6 weeks and the interruption of food oral intake. The patient showed a good clinical improvement.
CONCLUSION: Special attention should be given to a fever or neck pain in patients with risk factors of CSS, such as history of head and neck cancer treated with radiotherapy. An urgent treatment is required to avoid complications such as compression of the recurrent laryngeal nerves, either a conservative one with antibiotics or a surgical one.