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
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.