title: [Hypoglossus and laryngeal nerves palsy after an intubation for Legionella infection].
abstract: Extracranial involvement of the hypoglossal nerve and recurrent laryngeal branch of the vagal nerve can be a complication of anaesthetic airway management (Tapia's syndrome) or focal involvement due to Legionella infection. We present a patient with bilateral hypoglossal and unilateral recurrent laryngeal nerves palsy after a complicated intubation and a Legionella infection. Clarithromycin therapy was started. Within months, tongue mobility and swallowing gradually improved. Two months after discharge persisting unilateral recurrent nerve palsy was observed.
authors.affiliation: Anæstesiologisk Afdeling Y, Glostrup Hospital, Nordre Ringvej 57, 2600 Glostrup. rikkesoennichsen@gmail.com.
authors.forename: Rikke
authors.initials: R
authors.lastname: Sønnichsen
authors.forename: Anne Oberg
authors.initials: AO
authors.lastname: Lauritsen
mesh_terms: D006801:Humans; D020437:Hypoglossal Nerve Diseases / Q000382:microbiology* / Q000628:therapy; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D016952:Legionella pneumophila; D007877:Legionnaires' Disease / Q000150:complications* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D014060:Tongue Diseases / Q000382:microbiology* / Q000628:therapy; D014826:Vocal Cord Paralysis / Q000382:microbiology* / Q000628:therapy