amoxicillin-potassium-clavulanate-combination and Laryngeal-Diseases

Actinomycosis of the larynx represents an unusual presentation for a common bacterium comprising the oral and oropharyngeal florae. There are few cases reported in the literature of laryngeal actinomycosis occurring primarily in the immunocompromised population. Here, we present a case in a 74-year-old man that occurred in the setting of neutropenia as a result of chemotherapy. Once the diagnosis was made with biopsy of the larynx, the infection was resolved after a prolonged course of penicillin-based therapy.

Topics: Actinomycosis; Aged; Amoxicillin-Potassium Clavulanate Combination; Anti-Bacterial Agents; Antineoplastic Combined Chemotherapy Protocols; Biopsy; Ciprofloxacin; Drug Therapy, Combination; Humans; Immunocompromised Host; Laryngeal Diseases; Leukemia, Lymphocytic, Chronic, B-Cell; Male; Time Factors; Tomography, X-Ray Computed; Treatment Outcome

Actinomycosis is a rare chronic granulomatous disease that involves the upper airway and gastrointestinal tract. Approximately 40-55% of actinomycosis comprises the cervicofacial form. It presents a challenging clinical diagnostic dilemma because of variable presentations in the head and neck. Herein, we report a rare case of actinomycosis presenting as a vocal cord nodule in a healthy 21-year-old man who was not immunocompromised and had no other known medical disease.

Topics: Actinomycosis, Cervicofacial; Adult; Amoxicillin-Potassium Clavulanate Combination; Biopsy; Diagnosis, Differential; Hoarseness; Humans; Laryngeal Diseases; Laryngoscopy; Male; Postoperative Care; Vocal Cords

Laryngocele is an unusual laryngeal disease caused by an abnormal dilatation of the saccule of the laryngeal ventricule. Infection results in laryngopyocele. We report a case of laryngopyocele discovered in a patient presenting with fever, an inflammatory mass, dysphagia and minimal respiratory distress. Diagnosis was established from direct laryngoscopy and CT-scan. Early treatment consisted in antibiotics and needle aspiration followed by external excision. Laryngopyocele can sometimes be revealed by an episode of acute respiratory distress requiring tracheotomy. If there is no respiratory distress and if the infection is cured, endoscopic treatment with or without laser can be performed for internal laryngocele. The cervical approach can only be recommended for external or combined laryngocele.

Topics: Adult; Amoxicillin-Potassium Clavulanate Combination; Anti-Bacterial Agents; Drainage; Drug Therapy, Combination; Follow-Up Studies; Humans; Laryngeal Diseases; Male; Streptococcal Infections; Suppuration; Time Factors; Tomography, X-Ray Computed