Post-intubation vocal cord paralysis: the viral hypothesis. A case report.
After digestive surgery, a 20-year-old man presented dysphonia and fever. Indirect laryngoscopy revealed a left vocal cord paralysis with no structural lesion. IgM and IgG were positive for cytomegalovirus and negative for human immunodeficiency virus, herpes simplex virus, varicella zoster virus and Epstein-Barr virus. The patient recovered spontaneously with a normal voice, and the mobility of vocal cord recovered within 3 months. The aetiology of post-intubation vocal cord paralysis (VCP) remains controversial. Vocal cord paralysis with cytomegalovirus has been reported in two cases associated with acquired immunodeficiency syndrome. Vocal cord paralysis secondary to viral disease has also been described in other circumstances. panied by polyneuritis, especially in immunocompromised patients. We report the case of a patient with transitory unilateral post-intubation vocal cord paralysis which could have been related to a virus infection.
Marie
J P
JP
ENT Department, Rouen University Hospital CHU, Rouen, France.
Keghian
J
J
Mendel
I
I
Gueit
I
I
Dehesdin
D
D
Andrieu-Guitrancourt
J
J
D000328:Adult; D003586:Cytomegalovirus Infections / Q000150:complications* / Q000276:immunology; D003937:Diagnosis, Differential; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008297:Male; D014826:Vocal Cord Paralysis / Q000209:etiology*