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Vol. 46. Issue 9.
Pages 546-547 (September 2022)
Vol. 46. Issue 9.
Pages 546-547 (September 2022)
Images in Intensive Medicine
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Acute respiratory failure secondary to massive laringeal papillomatosis
Insuficiencia respiratoria aguda secundaria a papilomatosis laríngea masiva
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A. Ruiz Martíneza,
Corresponding author
audberto.ruiz@gmail.com

Corresponding author.
, A. Zabalegui Péreza, P. Saiz-Lopezb
a Servicio de Medicina Intensiva, Hospital Universitario de Burgos, Burgos, Spain
b Servicio de Anatomía Patológica, Hospital Universitario de Burgos, Burgos, Spain
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A Nicaraguan woman with no relevant disease history presented with sudden onset dyspnea, laryngeal stridor and basal SatO2 75%. Urgent laryngoscopy evidenced an exophytic mass of soft consistency. Orotracheal intubation under videolaryngoscopic (C-MAC®) guidance was performed, displacing the mass with the orotracheal tube, without incidents. At subsequent surgery, multiple supra- and subglottic papillomatous implants were removed (Fig. 1), with posterior good airway patency (Fig. 2). Evaluation of esophageal and bronchial tree spread proved negative. The diagnosis was confirmed by the subsequent histopathological study (Fig. 3).

Figure 1
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Figure 2
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Figure 3
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Laryngeal papillomatosis is a rare disorder caused by the human papillomavirus (HPV), producing severe respiratory failure. Urgent surgery is indicated, and the prognosis is good – though recurrences are frequent. In the event of recurrence, repeat surgery combined with immune-modulating therapy such as intralesional interferon, should be considered.

Please cite this article as: Ruiz Martínez A, Zabalegui Pérez A, Saiz-Lopez P. Insuficiencia respiratoria aguda secundaria a papilomatosis laríngea masiva. Med Intensiva. 2022;46:546–547.

Copyright © 2020. Elsevier España, S.L.U. and SEMICYUC
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