Potentially lethal pharyngolaryngeal edema with dyspnea in adult patients with mumps: A series of 5 cases.
In this article we describe 5 rare cases of mumps-associated pharyngolaryngeal edema. To the best of our knowledge, this report includes the first case of mumps-associated pharyngolaryngeal edema in a patient who had previously received mumps vaccination, and these cases represent the sixth report of mumps-associated pharyngolaryngeal edema in the English literature. All 5 of our patients with mumps infection were adults and manifested airway stenosis due to pharyngolaryngeal edema. This edema responded favorably to steroid treatment without tracheotomy. We conclude that a pharyngolaryngeal examination is recommended for patients with mumps infection. Steroid treatment is usually effective against pharyngolaryngeal edema; however, in certain cases tracheotomy may be inevitable.
Department of Otolaryngology, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe-shi, Saitama 350-8550, Japan. masaohki@saitama-med.ac.jp.
Masafumi
M
Ohki
Yuka
Y
Baba
Shigeru
S
Kikuchi
Atsushi
A
Ohata
Takeshi
T
Tsutsumi
Sunao
S
Tanaka
Atsushi
A
Tahara
Shinji
S
Urata
Junichi
J
Ishikawa
D000293:Adolescent; D000328:Adult; D000402:Airway Obstruction / Q000209:etiology; D004417:Dyspnea / Q000209:etiology*; D004487:Edema / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use; D007819:Laryngeal Edema / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D009107:Mumps / Q000150:complications*; D009108:Mumps Vaccine; D010608:Pharyngeal Diseases / Q000188:drug therapy / Q000209:etiology*; D014611:Vaccination
D009108:Mumps Vaccine; D006854:Hydrocortisone