ガス産生喉頭蓋膿瘍の2例

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  • 谷上 由城
    日本赤十字社和歌山医療センター耳鼻咽喉科
  • 本多 啓吾
    日本赤十字社和歌山医療センター耳鼻咽喉科
  • 池田 浩己
    日本赤十字社和歌山医療センター耳鼻咽喉科 池田耳鼻いんこう科院
  • 暁 久美子
    日本赤十字社和歌山医療センター耳鼻咽喉科
  • 山田 光一郎
    日本赤十字社和歌山医療センター耳鼻咽喉科
  • 木村 俊哉
    日本赤十字社和歌山医療センター耳鼻咽喉科
  • 森田 勲
    日本赤十字社和歌山医療センター耳鼻咽喉科
  • 田村 啓一
    日本赤十字社和歌山医療センター耳鼻咽喉科
  • 三浦 誠
    日本赤十字社和歌山医療センター耳鼻咽喉科

書誌事項

タイトル別名
  • Two Cases of Epiglottic Abscess Caused by Gas-Forming Bacteria
  • 臨床 ガス産生喉頭蓋膿瘍の2例
  • リンショウ ガス サンセイ コウトウブタ ノウヨウ ノ 2レイ

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<p>Epiglottic abscess is one of the complications of acute epiglottitis. It can cause airway obstruction and require emergency attention. Epiglottic abscess is very rarely caused by gas-forming bacteria, but herein, we report two cases of epiglottic abscess caused by gas-forming bacteria. In the first case, a 66-year-old woman presented with a one-week history of slight sore throat. Fiberoptic laryngoscopy revealed epiglottic swelling in the shape of a heart and CT showed gas in the epiglottis. Antibiotics were administered, however, the laryngeal swelling progressed and tracheostomy was performed. The abscess then resolved, and the patient was discharged from the hospital on the twelfth hospital day. In the second case, a 43-year-old man presented with a history of severe dyspnea and sore throat, and he also suffered from orthopnea. CT showed the presence of much gas in the epiglottis and arytenoid region, fiberoptic laryngoscopy revealed severe laryngeal swelling and tracheostomy was performed immediately; however, the patient went into cardiac arrest before tracheal fenestration. Cardiac resuscitation restored the heartbeat and tracheostomy was performed, however, the patient died on the twenty-first hospital day. Both cases needed tracheostomy; this case report serves to underscore the need to bear in mind the possibility of invasive airway access while managing cases of gas-forming epiglottic abscess.</p>

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