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Abstract: This article describes a 49-year-old male patient who came to the clinic with hoarseness and sore throat. After detailed questioning about the condition, the patient was advised to undergo laryngoscopy, and after the diagnosis was confirmed, anti-inflammatory drugs were applied, followed by symptomatic treatment, and the patient was cured after treatment. The main cause of laryngitis, including acute laryngitis and chronic laryngitis, acute laryngitis is also called acute catarrhal laryngitis, the main cause is infection, the common causative agents are Staphylococcus aureus, hemolytic streptococcus, male onset is more common.
Basic information】Male, 49 years old
Disease Type】Acute laryngitis
Hospital】Northern War Zone General Hospital
Date of consultation】August 2021
Treatment plan】Intravenous treatment (cefuroxime sodium for injection + methylprednisolone sodium succinate for injection) +Nebulizer treatment (acetylcysteine solution for inhalation) +Oral medication (eucalyptus lemongrass enteric soft capsule + cefixime tablets + golden voice open sound capsule)
Treatment period】5 days of outpatient medication treatment
Effectiveness】The patient’s hoarseness and sore throat disappeared.
I. Initial consultation
The patient’s voice became hoarse 1 week ago after a cold and flu, and the pitch of voice became low and coarse when pronouncing, and the throat felt painful, dry, and had a foreign body sensation, accompanied by an irritating cough and coughing sputum, and the coughing worsened at night, and there were more mucous secretions in the mouth. After the interview, the patient was advised to improve the nucleic acid test, laryngoscopy and blood routine. The nucleic acid test was negative, laryngoscopy suggested diffuse swelling of the mucous membrane in the larynx, no swelling of the epiglottis, bilateral congestion of the vocal folds and phialsis, good movement of the vocal folds, smooth surface, poor closure, and blood routine suggested a significant increase in leukocytes, indicating bacterial infection, and the preliminary diagnosis was: acute laryngitis according to the patient’s current findings. The patient was advised to be treated with intravenous fluids on an outpatient basis, and the patient agreed.
II. Treatment process
According to the patient’s condition, the patient was given cefuroxime sodium for injection. Before using the drug, an intradermal sensitivity test should be done to avoid allergic reactions, and sodium methylprednisolone succinate for injection should be applied to reduce the mucosal edema and phial edema in the larynx. The patient was given inhaled acetylcysteine solution for nebulization and oral eucalyptus pinene enteric soft capsule to promote the discharge of mucous sputum, and the patient was advised to follow up the medication regularly for 3 days and decide the next medication according to the follow-up. The patient was instructed to stop the medication in time for follow-up if discomfort occurred during the course of medication, and to observe the breathing condition to avoid the aggravation of edema in the larynx, which required tracheotomy if necessary, which the patient understood.
III. Treatment effect
After 3 days of medication, the patient came to our outpatient clinic for review and reported that the sore throat was significantly reduced, hoarseness improved, cough and sputum disappeared, body temperature returned to normal on the next day of medication, normal eating, laryngoscopic examination indicated that bilateral vocal fold congestion was reduced, phial edema had disappeared, and vocal fold closure was slightly gap. After 5 days of medication, the patient was treated with cefixime tablets. After 5 days of medication, the patient’s general condition and pharyngeal symptoms improved significantly, especially the voice improved significantly, and the patient was very satisfied with the treatment effect.
IV. Notes
I am glad that after the treatment, the patient’s symptoms have been improved significantly, but in the future, the following points need to be done to avoid the recurrence of the disease.
1.A light diet is recommended for 1 week, avoiding spicy and stimulating foods, such as chili, fish, shrimp and other foods.
2, avoid staying up late, exercise properly to improve resistance and reduce the chance of disease.
3, if the patient’s condition recurs during the medication period, return to the hospital for follow-up in a timely manner, and follow up on any discomfort.
4. Avoid going to crowded places to avoid mutual transmission of bacteria and viruses.
5. Avoid smoking and drinking alcohol to reduce the stimulation of the mucous membrane of the throat.
V. Personal insight
The prognosis of acute laryngitis is generally good, and rarely leads to laryngeal abscess and cartilage necrosis, so do not worry too much, but sometimes it is easy to cause breathing difficulties, and if necessary, you need to be prepared for tracheotomy. Most of them can be cured afterwards. Pay attention to the room temperature and humidity, keep the indoor air circulation, drink more warm water, pay attention to the prohibition of smoking and alcohol, and ensure smooth bowel movement.