Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Case Report Volume 5 Issue 4

A Conundrum: Pseudomembranous Necrotizing Tracheitis

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


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


  1. Guerrero, J., et al. “Necrotizing Tracheitis Secondary to Corynebacterium Species Presenting With Central Airway Obstruction”. Respiratory Care1 (2013).
  2. Sehgal I S., et al. “Obstructive Fibrinous Tracheal Pseudomembrane After Endotracheal Intubation”. Respiratory Care9 (2016): 1260-1266.
  3. , et al. “Pseudomembranous Tracheobronchitis Caused by Methicillin-resistant Staphylococcus aureus”. Scandinavian Journal of Infectious Diseases 34.3 (2002): 211-213.
  4. Lim CSY., et al. “Candida and invasive candidiasis: back to basics”. European Journal of Clinical Microbiology and Infectious Diseases1 (2011): 21-31.
  5. Shostak E., et al. “A 54-Year-Old Woman With Post extubation Stridor”. Chest 5 (2014): e163-e166.
  6. Yildirim BB., et al. “Obstructive Fibrinous Tracheal Pseudomembrane”. Journal of Bronchology and Interventional Pulmonology2 (2012): 129-131.
  7. Valor RR., et al. “Bacterial Tracheitis with Upper Airway Obstruction in a Patient with the Acquired Immunodeficiency Syndrome”. American Review of Respiratory Disease6 (1992): 1598-1599.
  8. Colt H G., et al. “ Necrotizing Tracheitis caused by Corynebacterium pseudodiphtheriticum: Unique case and Review”. Clinical Infectious Diseases1 (1990): 73-76.
  9. Malhotra P., et al. “Pseudomembranous tracheitis caused by Aspergillus fumigatus in the setting of high grade T-cell lymphoma”. Respiratory Medicine Case Reports 21 (2017): 42-45.
  10. Fiorelli A., et al. “Spontaneous expectoration of an obstructive fibrinous tracheal pseudomembrane after tracheal intubation”. European Journal of Cardio-Thoracic Surgery1 (2011): 261-263.


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


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.


Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is June 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US