Stridor due to a bridge-like subglottic stenosis in a 10-week-old male infant.
We present an infant with post-intubation stridor caused by a bridge-like subglottic stenosis. At the age of 6 weeks he suffered from a RSV infection with the need for endotracheal intubation. At week 10 acute respiratory distress required a re-intubation. Flexible endoscopy was suggestive for laryngomalacia. Rigid endoscopy revealed a subglottic laterolateral mucosal bridge resulting in a doubling of the airway lumen. Histopathological examination showed a fibrinoid pseudomembrane. Follow up endoscopy showed a grade 1 posterior subglottic stenosis without respiratory compromise. This is the first case in the literature of an infant with a post-intubation bridge-like fibrinoid pseudomembranous subglottic lesion.
van Dinther
J J S
JJ
Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, University of Antwerp, Wilrijkstraat 10, 2650 Edegem, Belgium.
Boudewyns
A N
AN
Jorens
Ph G
PG
Van Marck
V
V
Claes
J
J
Van de Heyning
P H
PH
D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007829:Laryngostenosis / Q000209:etiology* / Q000473:pathology* / Q000601:surgery; D008297:Male; D012135:Respiratory Sounds / Q000209:etiology*; D012141:Respiratory Tract Infections / Q000628:therapy; D015163:Superinfection / Q000628:therapy