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Pseudomonas laryngeal perichondritis: unexpected diagnosis
  1. Siti Salwa Zainal Abidin1,
  2. Thean Yean Kew2,
  3. Mawaddah Azman1 and
  4. Marina Mat Baki1
  1. 1Department of Otorhinolaryngology, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia
  2. 2Department of Radiology, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia
  1. Correspondence to Professor Marina Mat Baki; marinamatbaki{at}ppukm.ukm.edu.my

Abstract

A 57-year-old male chronic smoker with underlying diabetes mellitus presented with dysphonia associated with cough, dysphagia and reduced effort tolerance of 3 months’ duration. Videoendoscope finding revealed bilateral polypoidal and erythematous true and false vocal fold with small glottic airway. The patient was initially treated as having tuberculous laryngitis and started on antituberculous drug. However, no improvement was observed. CT of the neck showed erosion of thyroid cartilage, which points to laryngeal carcinoma as a differential diagnosis. However, the erosion was more diffuse and appeared systemic in origin. The diagnosis of laryngeal perichondritis was made when the histopathological examination revealed features of inflammation, and the tracheal aspirate isolated Pseudomonas aeruginosa. The patient made a good recovery following treatment with oral ciprofloxacin.

  • ear
  • nose and throat/otolaryngology
  • otolaryngology / ENT

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Footnotes

  • Contributors Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work: SSZA, TYK, MA and MMB. Drafting the work or revising it critically for important intellectual content: SSZA, TYK, MA and MMB. Final approval of the version to be published: SSZA, TYK, MA, MMB. Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved: SSZA, TYK, MA, MMB.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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