Critical upper airway obstruction as the first symptom of acute myeloid leukemia - an anesthesiologic reminder.

Upper airway obstruction acute myeloid leukemia acute tracheotomy airway management

Journal

Clinics and practice
ISSN: 2039-7275
Titre abrégé: Clin Pract
Pays: Switzerland
ID NLM: 101563282

Informations de publication

Date de publication:
19 May 2020
Historique:
received: 16 10 2019
accepted: 18 05 2020
entrez: 26 6 2020
pubmed: 26 6 2020
medline: 26 6 2020
Statut: epublish

Résumé

Acute upper airway obstruction can be fatal. Early recognition of airway distress followed by diagnostic laryngoscopy and prompt intervention to secure airway control is crucial. We here present a 62-year old male patient who presented with cough and increasing respiratory distress for three weeks. Within the next 24 h, he developed symptoms of critical upper airway obstruction, endotracheal intubation was not possible, and an acute surgical tracheotomy was performed to retain patent airways. A computer tomography scan revealed severe laryngopharyngeal soft tissue thickening and upper airway obstruction caused by leukemic infiltration. He was diagnosed with acute leukemia and responded to induction chemotherapy. This case report points out the importance of establishing the diagnosis of critical upper airway obstruction in patients presenting with respiratory symptoms, and highlights the emergency management of airway obstruction due to malignant infiltration of leukemic blasts. laryngotracheal trauma, bleeding, tonsillar hypertrophy, paralysis of the vocal cords or folds, allergic reactions, and acute infections affecting the upper respiratory tract.

Identifiants

pubmed: 32582417
doi: 10.4081/cp.2020.1214
pmc: PMC7296277
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1214

Informations de copyright

©Copyright: the Author(s).

Déclaration de conflit d'intérêts

Conflict of interests: the authors declare no potential conflict of interests.

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Auteurs

Øyvind Bruserud (Ø)

Department of Anesthesia and Intensive Care, Haukeland University Hospital.

Øystein Wendelbo (Ø)

Department of Medicine, Haukeland University Hospital.

Nils Vetti (N)

Department of Radiology, Haukeland University Hospital.
Section for Radiology, Department of Clinical Medicine, University of Bergen.

Frederik Kragerud Goplen (FK)

Department of Otorhinolaryngology & Head and Neck Surgery, Haukeland University Hospital.

Silje Johansen (S)

Department of Medicine, Haukeland University Hospital.

Håkon Reikvam (H)

Department of Medicine, Haukeland University Hospital.
Section for Hematology, Department of Clinical Science, University of Bergen, Bergen, Norway.

Classifications MeSH