Priti S Hajare¹, Sneha A Sankaran¹*, Jyothi Hattiholi², Anagha Dhore¹, Pallavi Kallur¹ and Anto Mathew²

¹Department of Otorhinolaryngology and Head and Neck Surgery, J.N. Medical College, KLE Academy of Higher Education and Research, Belgaum, Karnataka, India
²Department of Respiratory Medicine, J.N. Medical College, KLE Academy of Higher Education and Research, Belgaum, Karnataka, India

*Corresponding Author: Sneha A Sankaran, Post Graduate, Department of Otorhinolaryngology and Head and Neck Surgery, J.N. Medical College, KLE Academy of Higher Education and Research, Belgaum, Karnataka, India.

Received: February 17, 2023; Published: March 09, 2023

Abstract

We report a rare but potentially dangerous complication of intubation in the form of pseudomembranous necrotizing tracheitis in a 65 year old female who presented with respiratory distress, intubated and diagnosed with cardiac arrythmia and underwent angioplasty. Post extubation she developed respiratory distress which progressed to stridor and underwent emergency tracheostomy where tube was inserted with difficulty due to presence of granulation tissue. Later computed tomography revealed an obstruction of the upper trachea due to mass, but subsequent flexible bronchoscopy showed whitish foreign body with granulation above the tracheostomy site which was reported as necrotic tissue on histopathology testing. Further, Culture sensitivity showed candida species. Subsequent mechanical debridement along with antifungal therapy resulted in successful decannulation and complete resolution of the disease and 6 weeks later showed no further tracheal stenosis.

Keywords: Candida; Fungal Tracheitis; Necrotizing Tracheitis; Pseudomembrane

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Citation

Citation: Sneha A Sankaran., et al. “A Conundrum: Pseudomembranous Necrotizing Tracheitis".Acta Scientific Otolaryngology 5.4 (2023): 12-15.

Copyright

Copyright: © 2022 Sneha A Sankaran., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.