Abstract
The patient was a 49-year-old female who was admitted to the Dept. of Internal Medicine of Osaka Medical College with sore throat and sustained fever.
Laboratory examination revealed granurocytopenia, and treatment was begun immediately, but her sore throat presisted, and she developed dyspnea.
She was transferred to the Dept. of Otolaryngology and a diagnosis was made of laryngitis phlegmonosa acuta. Tracheostomy was perfomed and conservative therapy was continued. However, antibiotics could not be administrate deffectively because of the possibility that antibiotics were the cause of the granulocytopenia.
Sore throat and fever receded 5 weeks later, but fistula from the vallecula to the lower neck appeared, and part of the hyoid bone was ejected spontaneously.
The fistula was closed operatively and the disease was cured with some deformity of the larynx. She was discharged 2 months later with no dysphagia or hoarseness.
Since laryngitis phlegmonosa acuta is rare disease in the era of antibiotic therapy, were ported this unusual case.
