黄色ブドウ球菌による偽膜性声門上炎の1例

A case of membranous supraglottitis

はじめに

　急性喉頭炎は大多数がウイルス感染によるものであり^1），急性喉頭蓋炎，急性喉頭気管気管支炎のような特殊な病態を除けば，重症化する症例はきわめて稀である。今回，われわれは特異な喉頭所見を呈し，入院加療を要した偽膜性声門上炎症例を経験したので報告する。

　Acute laryngitis is one of the most common ENT disorders. Membranous laryngitis is the rare type of laryngitis usually observed in laryngopharyngitis caused by Corynebacterium Diphtheriae or laryngotracheobronchitis caused by bacterial superinfection. Up to now, only one report has described membranous, laryngitis mainly localized to false vocal cord. We reported a case of membranous supuraglottitis caused by Straphylococcus Aureus. A 30-year-old female with sore throat for 2 days was referred to our department. Endoscopic examination revealed membrane overlying the false vocal cord and the laryngeal surface of the epiglottis. With deterioration of dysphagia and dysphonia, she was hospitalized on the next day. The patient was administered ceftriaxone intravenously and discharged on hospital day 9.