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Airway Obstruction in Infectious Mononucleosis

Airway Obstruction in Infectious Mononucleosis Abstract Upper airway obstruction in children often presents interesting and unusual problems. Severe obstruction resulting from profound hyperplasia of Waldeyer's ring is unusual whereas mild obstruction is common. The case to be presented is one of profound obstruction, secondary to infectious mononucleosis, necessitating an emergency tonsillectomy and adenoidectomy. A 20-year review of the available literature uncovered a number of cases of upper airway obstruction of various etiologies.7,8 Johnson1 in 1944 reported the first two proven cases of infectious mononucleosis in the Negro. One of these had an anginose obstruction. The Negro child was having intermittent respiratory distress, and tracheotomy was thought necessary on several occasions. The first case of surgical intervention, a tracheotomy was reported by Jones and Jones2 in 1949. Librach3 in 1951 presented one case of obstruction due to infectious mononucleosis and reviewed six others, all of which were treated with tracheotomy. In 1953 a References 1. Johnson, R. D.: Infectious Mononucleosis in Negro , JAMA 124:1254-1255 ( (April) ) 1944.Crossref 2. Jones, G. P., and Jones, E.: Anginose Type of Glandular Fever Requiring Tracheotomy , Brit Med J 2:1212-1213 ( (Nov) ) 1949.Crossref 3. Librach, I. M.: Anginose Type of Glandular Fever , Lancet 1:1105-1107, 1951.Crossref 4. Delaney, A. J., and Nelson, B. A.: Anginose Type of Infectious Mononucleosis Requiring Tracheotomy , Ann Oto 62:213-216 ( (March) ) 1953. 5. Mandel, W.; Marilley, R. J.; and Gaines, L. M., Jr.: Corticotrophin in Severe Anginose Infectious Mononucleosis , JAMA 158:1021-1022 ( (July) ) 1955.Crossref 6. Mollica V., and Grasso, E.: Otorhinolaryngological Manifestations of Infectious Mononucleosis and Its Treatment With Cortical Steroid Hormones , Minerva Otorinolaring 12:243-275 ( (June) ) 1962. 7. Baugh, C. D., and O'Donoghue, R. F.: Teratoma of Tonsil Causing Respiratory Obstruction in Newborn , Arch Dis Child 30:396-397 ( (Aug) ) 1955.Crossref 8. Spector, S., and Bantista, A. G.: Respiratory Obstruction by Acute Tonsillitis and Acute Adenitis , New York J Med 56:2118-2119 ( (July) ) 1956. 9. Grier, J.: Tonsils and Adenoids Causing Respiratory Obstruction , J Laryng 76:978-980 ( (Dec) ) 1962.Crossref 10. Ranta, L. J., and Grahne, B.: Tonsillectomy During Infectious Mononucleosis , Pract Otorhinolaryng (Basel) 18:65-71 ( (March) ) 1956. 11. Nessel, E.: Surgical Treatment of Complicated Monocyte Angina: Tracheotomy or a Tonsillectomy , Z Laryng Rhinol Otolaryng 41:182-186 ( (March) ) 1962. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Airway Obstruction in Infectious Mononucleosis

YEAGER, HARVEY P.
Archives of Otolaryngology , Volume 80 (5) – Nov 1, 1964
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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1964 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1964.00750040597015
Publisher site
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Abstract

Abstract Upper airway obstruction in children often presents interesting and unusual problems. Severe obstruction resulting from profound hyperplasia of Waldeyer's ring is unusual whereas mild obstruction is common. The case to be presented is one of profound obstruction, secondary to infectious mononucleosis, necessitating an emergency tonsillectomy and adenoidectomy. A 20-year review of the available literature uncovered a number of cases of upper airway obstruction of various etiologies.7,8 Johnson1 in 1944 reported the first two proven cases of infectious mononucleosis in the Negro. One of these had an anginose obstruction. The Negro child was having intermittent respiratory distress, and tracheotomy was thought necessary on several occasions. The first case of surgical intervention, a tracheotomy was reported by Jones and Jones2 in 1949. Librach3 in 1951 presented one case of obstruction due to infectious mononucleosis and reviewed six others, all of which were treated with tracheotomy. In 1953 a References 1. Johnson, R. D.: Infectious Mononucleosis in Negro , JAMA 124:1254-1255 ( (April) ) 1944.Crossref 2. Jones, G. P., and Jones, E.: Anginose Type of Glandular Fever Requiring Tracheotomy , Brit Med J 2:1212-1213 ( (Nov) ) 1949.Crossref 3. Librach, I. M.: Anginose Type of Glandular Fever , Lancet 1:1105-1107, 1951.Crossref 4. Delaney, A. J., and Nelson, B. A.: Anginose Type of Infectious Mononucleosis Requiring Tracheotomy , Ann Oto 62:213-216 ( (March) ) 1953. 5. Mandel, W.; Marilley, R. J.; and Gaines, L. M., Jr.: Corticotrophin in Severe Anginose Infectious Mononucleosis , JAMA 158:1021-1022 ( (July) ) 1955.Crossref 6. Mollica V., and Grasso, E.: Otorhinolaryngological Manifestations of Infectious Mononucleosis and Its Treatment With Cortical Steroid Hormones , Minerva Otorinolaring 12:243-275 ( (June) ) 1962. 7. Baugh, C. D., and O'Donoghue, R. F.: Teratoma of Tonsil Causing Respiratory Obstruction in Newborn , Arch Dis Child 30:396-397 ( (Aug) ) 1955.Crossref 8. Spector, S., and Bantista, A. G.: Respiratory Obstruction by Acute Tonsillitis and Acute Adenitis , New York J Med 56:2118-2119 ( (July) ) 1956. 9. Grier, J.: Tonsils and Adenoids Causing Respiratory Obstruction , J Laryng 76:978-980 ( (Dec) ) 1962.Crossref 10. Ranta, L. J., and Grahne, B.: Tonsillectomy During Infectious Mononucleosis , Pract Otorhinolaryng (Basel) 18:65-71 ( (March) ) 1956. 11. Nessel, E.: Surgical Treatment of Complicated Monocyte Angina: Tracheotomy or a Tonsillectomy , Z Laryng Rhinol Otolaryng 41:182-186 ( (March) ) 1962.

Journal

Archives of Otolaryngology – American Medical Association

Published: Nov 1, 1964

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