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Acute ulcerative-membranous and fibrinous laryngitis
Last reviewed: 23.04.2024
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Ulcerative-membranous laryngitis
Ulcerative-membranous laryngitis is very rare and is caused by a fusospiralous microbiota similar to the one that causes the Simanovsky-Plaut-Vincent angina.
The diagnosis is established on the basis of a characteristic exudate and the presence of ulcers of the epiglottis and arthropathy folds, as well as on the basis of simultaneous or previous similar process in the palatine tonsils. The final diagnosis is determined by bacteriological examination. Clinically ulcerative-membranous laryngitis can be confused with diphtheria or with the initial stage of pemphigus of the larynx.
Treatment with antibiotics leads to a rapid recovery.
Acute fibrinous laryngitis
Acute fibrinous laryngitis is characterized by the presence of fibrinous raids on the mucous membrane of the larynx, which appear after thermal and chemical burns, or as a result of banal purulent inflammation, mostly caused by Pseudomonas aeruginosa, or as an after-fungal complication.
The clinical course does not exceed 2-3 weeks, after which, with appropriate symptomatic and antibacterial treatment, recovery comes.
The treatment is the same as with a banal acute catarrhal laryngitis.
The prognosis for the voice and respiratory function of the larynx may be uncertain when post-burn cicatricial stenoses or post-infarctal paresis of the internal muscles of the larynx occur.
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