title: Aphonia and epiglottitis in neonate with concomitant MRSA skin infection.
abstract: We report an unusual case of a neonate with aphonia due to epiglottitis with a concomitant methicillin-resistant S taphylococcus aureus (MRSA) infection of the genitalia and associated septic emboli to the groin area and mouth. We postulate that the MRSA infection caused a transient bacteremia that seeded the epiglottis, likely causing the epiglottitis. In the evaluation of a neonate with aphonia, while the two primary differentials to consider are vocal cord paralysis and laryngeal web, among other considerations is epiglottitis (supraglottitis).
authors.affiliation: Department of Pediatrics, University of Toledo Toledo, Ohio, United States of America.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Noble
authors.affiliation: Department of Pediatrics, University of Toledo Toledo, Ohio, United States of America.
authors.forename: Renee
authors.initials: R
authors.lastname: Devor
authors.affiliation: Department of Pediatrics, University of Toledo Toledo, Ohio, United States of America.
authors.forename: Francis J
authors.initials: FJ
authors.lastname: Rogalski
authors.affiliation: Department of Pediatrics, University of Toledo Toledo, Ohio, United States of America.
authors.forename: Wilfredo
authors.initials: W
authors.lastname: Vergara
authors.affiliation: Department of Pediatrics, University of Toledo Toledo, Ohio, United States of America.
authors.forename: Ramalinga P
authors.initials: RP
authors.lastname: Reddy
authors.affiliation: Department of Pediatrics, University of Toledo Toledo, Ohio, United States of America.
authors.forename: Nasreen
authors.initials: N
authors.lastname: Bhumbra
keywords: Aphonia; Panton–Valentine leukocidin; bronchoscopy; deep venous thrombosis; epiglottitis; methicillin-resistant Staphylococcus aureus; neonate; supraglottitis