잠시만 기다려 주세요. 로딩중입니다.

重篤한 化膿性縱隔洞炎을 招來한 것으로 思料되는 急性腐蝕性 食道炎의 1例

A Case of Corrosive Esophagitis complicated with Fatal Purulent Mediastinitis

박영철,
소속 상세정보
박영철 (  ) - 우석대학교 의과대학 이비인후과학교실

Abstract


A 1 year and 9 months old boy had had, mild grippe-like symptoms for several days. A neighboring pharmacist applied some (unknown) liquid drug in his throat. At this moment, the cotton tip slipped off the applicator and dropped in the throat. The patient complained throat pain and mild dyspnea thereafter. A neighboring general-practicing physician examed the patient and performed esophageal bouginage for several times in vain. Fever and dyspnea became worse and the patient was send to us a few hours later. Diret laryngoscopy revealed swollen epiglottis with ulceration and vocal cords could not be seen. Emergency tracheotomy was performed. During this procedure, patient vomitted a large amount of digested food, but we could not find any cotton balls. Bronchoscopy also done through the tracheotomy wound and no pathology was found. The respiration became quiet after tracheotomy but fever continued. Esophagoscopy could not proceeded due to the severe swelling of the epiglottis. We watched thepatient for 2 days giving him enough antibiotics. On third hospital day, the respiration became shallow and labored. Direct layngoscopy revealed marked inflammatory swelling of the lower hypopharynx and pus escaping from the esophageal lumen. The child expired a few hours later.

키워드

원문 및 링크아웃 정보

등재저널 정보

KCI
KoreaMed
KAMS