{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T05:09:56Z","timestamp":1767676196515,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,5,30]]},"abstract":"<jats:p>Supraglottitis is a potentially life-threatening condition. It is now uncommon due to the <jats:italic>Haemophilus influenzae<\/jats:italic> type B vaccination and is more recently caused by <jats:italic>Streptococcus pneumoniae<\/jats:italic>, <jats:italic>S. pyogenes<\/jats:italic>, <jats:italic>H. influenzae<\/jats:italic> non-type B, <jats:italic>H. parainfluenzae<\/jats:italic>, <jats:italic>Staphylococcus aureus<\/jats:italic> and <jats:italic>Pasteurella multocida<\/jats:italic>. Very rarely, it can cause necrotising supraglottitis\/epiglottitis, and this has been reported in immunocompromised individuals. We present a unique case of multipathogenic supraglottitis causing laryngeal fibrinoid necrosis in an immunocompetent patient. During his admission, the patient was critically unwell and required surgical intervention and tracheostomy. However, he made a full recovery with no persisting morbidity. We believe that this was owed to the aggressive antimicrobial therapy, timely surgical management of the disease process and the patient\u00e2\u20ac\u2122s immunocompetency.<\/jats:p>","DOI":"10.1136\/bcr-2017-219631","type":"journal-article","created":{"date-parts":[[2017,6,19]],"date-time":"2017-06-19T00:50:17Z","timestamp":1497833417000},"page":"bcr-2017-219631","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Multipathogenic necrotising supraglottitis in an immunocompetent patient"],"prefix":"10.1136","volume":"2017","author":[{"given":"Jacob Joseph","family":"Ahmed","sequence":"first","affiliation":[{"name":"Otorhinolaryngology, Head and Neck Surgery, Royal Derby Hospital, Derby, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0354-0179","authenticated-orcid":false,"given":"James Douglas","family":"Constable","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology, Head and Neck Surgery, Royal Derby Hospital, Derby, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tawakir","family":"Kamani","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology, Head and Neck Surgery, Royal Derby Hospital, Derby, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mriganka","family":"De","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology, Head and Neck Surgery, Royal Derby Hospital, Derby, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,6,18]]},"reference":[{"key":"2025082802175455000_2017.jun16_2.bcr-2017-219631.1","unstructured":"McGill TJ , Jones D . Non-malignant conditions of the paediatric larynx. Bath: BMJ Publishing Group, 1998:p598."},{"key":"2025082802175455000_2017.jun16_2.bcr-2017-219631.2","doi-asserted-by":"crossref","first-page":"1314","DOI":"10.1288\/00005537-199411000-00002","article-title":"Changing patterns in pediatric supraglottitis: a multi-institutional review, 1980 to 1992","volume":"104","author":"Senior","year":"1994","journal-title":"Laryngoscope"},{"key":"2025082802175455000_2017.jun16_2.bcr-2017-219631.3","unstructured":"Gorbach SL , Bartlett JG , Blacklow NR . Infectious disease. 3rd edn. Taunton: BMJ Publishing Group, 2004:p460."},{"key":"2025082802175455000_2017.jun16_2.bcr-2017-219631.4","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/2011.2.5"},{"key":"2025082802175455000_2017.jun16_2.bcr-2017-219631.5","unstructured":"Kumar V , Abbas AK , Aster JC . Robbins Basic Pathology. Philadelphia: BMJ Publishing Group, 2013:p11."},{"key":"2025082802175455000_2017.jun16_2.bcr-2017-219631.6","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014-3157"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-219631","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:18:04Z","timestamp":1756372684000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-219631"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6,18]]},"references-count":6,"alternative-id":["10.1136\/bcr-2017-219631"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-219631","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,6,18]]}}}