Reyes HKL, Reyes HDP, Hernández LS, Reyes HU, Reyes GU, Pérez PO, Garzón SE

Language: Spanish
References: 15
Page: 115-118
PDF size: 417.53 Kb.

ABSTRACT

background. The uvulitis is considered an acute cellulitis of the uvula, it causing erythema, edema, pain and fever. When its etiology is infectious, early diagnosis and treatment often prevents progression to epiglottitis. The etiologic agents are Streptococcus pneumoniae, Haemophilus influenzae and streptoccus b hemolytic streptococci (SBHGA)
case report. Masculine of 17 years old, consult for pharyngeal ticklishness odynophagia, with fever of 5 days of evolution, with antecedent of Graves Basedow disease. Physical examination showed a feverish patient with significant inflammation of the uvula, also edematous and bilateral submandibular lymphadenopathy. A quick test of Streptococcus was reported positive. Procaine penicillin of 800.000 us IM was applied each 24 hours for 3 days followed at 4 days of benzatinic G penicillin of 1.200.000 us IM in unique dose with good response. The control revision at 72 hours showed significant improvement with defervescence and better general condition, the cultivation of the uvula documented SBHGA
conclusion. The infectious uvulitis is a rare entity, with the advent of immunizations, the causal agent only to consider what is the SBHGA, the most of them sensitive to penicillins.

REFERENCES

1. Lathadevi TH, Karadi NR, Thobbi VR, Guggarigoudar PS, Kulkarni HN. “Isolated uvulitis: An uncommon but not a rare clinical entity”, Indian J Otolaryngol Head Neck Surg. 2005; 57(2): 139–40.

2. Alcoceba E, Gonzalez M, Gaig P, Figuerola E, Auguet T, Olona M. “Edema of the Uvula: Etiology, Risk Factors, Diagnosis, and Treatment”, J Investig Allergol Clin Immunol 2010; 20(1): 80-6.

3. Mills DL, May K, Mihlon F. “Peritonsillar Abscess with Uvular Hydrops”, West J Emerg Med. 2010; 11(1): 83–5.

4. Cevik Y, Vural S, Kavalci C. “Insolated uvular angioedema: Enfermedad de Quincke”, Int J Emerg Med 2010; 3 (4): 493-4.

5. Department of Emergency Medicine, Medical College of Pennsylvania, Philadelphia, “Clinical characteristics of acute uvulitis”. American Journal of Emergency Medicine 1994; 12(1): 51-2.

6. Reyes GU, Reyes HK, Angelo QH. “Uvulitis” en: Castañeda NJL (editor) Prontuario de Infectología Pediátrica 4ª ed. Asociación Mexicana de Infectología Pediátrica México: Editorial Trillas; 2014.

7. Miller JR, Gerhardt AM. “Uvular edema secondary to snoring under deep sedation”, Anesth Prog Prim 2006, 53(1): 13-6.

8. Arunachalam SP, Ramachandra SR. “Quincke’s oedema of the uvula associated with mucous retention cyst-a case report”, Indian J. Otolaryngol Head Neck Surg. 2000; 52(2): 159–161.

9. LeBlanc C, Jenkins C, Godsoe S. “Acute Uvulitis in the ED”, The Canadian Journal of Diagnosis, October 2008.

10. Rodríguez RS. Infecciones de vías respiratorias en pediatría 2ª ed. México: editorial Atelier; 1994: 1-74.

11. Pinckering KL (edit) Red Book 26ª edición American Academy of Pediatrics 2000.p. 326-37.

12. Altamimi S. Cochrane Acute Respiratory Infections Group 2012: 4.

13. Martinón SJ, Martinón TF. “Estridor y obstrucción respiratoria de aparición aguda” en: Casado FJ, Serrano A (edits) Urgencias y tratamiento del niño grave 2ª edición Madrid: editorial Ergon; 2007.p. 335-41.

14. Reyes GU, Ávila CFJ, Reyes HU. “Uvulitis” en Ávila CFJ. Neumología Pediátrica: México: editorial Mc Graw Hill; 2014.

15. Reyes GU, Cruz GL, Arista VA, López CG, Garzón SE, Colón CF. “Neumococo, nuevas actuales y nuevas vacunas” Bol Clin Hosp Inf Son 2011; 28(1): 27-30.