Pediatric bilateral vocal cord granulomas presenting as airway foreign body following prolonged intubation due to COVID-19 related multisystem inflammatory syndrome

Viraj N. Shah, Neeraj V. Suresh, Luke J. Pasick, Michael K. Ghiam, Leonardo A. Torres

Research output: Contribution to journalArticlepeer-review

Abstract

Background: This report is a case of bilateral vocal cord granulomas (VCG) in a 9-year-old child presenting as an airway foreign body and stridor following f prolonged intubation due to COVID-19 pneumonia complicated by multisystem inflammatory syndrome in children (MIS-C). Case presentation: This case reports a 9-year-old male who presented to the emergency department with acute stridor concerning for airway obstruction. X-ray findings suggested an airway foreign body; however, on rigid bronchoscopy, ball-valving bilateral VCG obstructing 90% of the glottic airway were identified. After excision of the VCGs, the patient's symptoms resolved with no postoperative complications. Conclusion: With suspected foreign body aspiration in a pediatric patient with a history of prolonged intubation, it is important to consider a broad differential diagnosis. VCGs are rare complications of prolonged intubation that could be in children with prior history of intubation following COVID-19 pneumonia.

Original languageEnglish (US)
Article number100311
JournalOtolaryngology Case Reports
Volume20
DOIs
StatePublished - Sep 2021
Externally publishedYes

Keywords

  • COVID-19
  • Foreign body
  • Multisystem inflammatory syndrome
  • Pediatric
  • Vocal cord granulomas

ASJC Scopus subject areas

  • Otorhinolaryngology

Fingerprint

Dive into the research topics of 'Pediatric bilateral vocal cord granulomas presenting as airway foreign body following prolonged intubation due to COVID-19 related multisystem inflammatory syndrome'. Together they form a unique fingerprint.

Cite this