title: Aspecific membranous laryngitis after infectious mononucleosis.
abstract: Aspecific membranous laryngitis is an unusual but very serious complication of viral infections. Here, we report the uncommon finding of infectious mononucleosis characterized by aspecific membranous laryngitis with fever, dysphonia and severe dyspnea in a 12-year-old girl. Endoscopy showed mucopus and sloughed epithelium forming a pseudomembrane covering almost all the supraglottal region and a supraglottal swelling including the epiglottis and arytenoids. The importance of suspecting diphtheria, epiglottitis, viral or bacterial croup and laringo-tracheo-bronchitis and including them in the differential diagnosis is emphasized.
authors.affiliation: E.N.T. Department, School of Medicine, Siena University, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Di Girolamo
authors.forename: M
authors.initials: M
authors.lastname: Anselmi
authors.forename: A
authors.initials: A
authors.lastname: Piccini
authors.forename: A
authors.initials: A
authors.lastname: De Lauretis
authors.forename: D
authors.initials: D
authors.lastname: Passàli
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D003440:Croup / Q000209:etiology; D003937:Diagnosis, Differential; D004826:Epiglottitis / Q000209:etiology; D005260:Female; D006801:Humans; D007244:Infectious Mononucleosis / Q000150:complications*; D007827:Laryngitis / Q000209:etiology*; D007828:Laryngoscopy; D007830:Larynx / Q000473:pathology; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D013297:Streptococcus pyogenes / Q000302:isolation & purification*; D015163:Superinfection / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology
chemical_list: D000900:Anti-Bacterial Agents