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Tunge- og stemmebåndsparese efter endotrakeal intubation for Legionella-pneumoni
Engelsk titel: Hypoglossus and laryngeal nerves palsy after an intubation for Legionella infection Läs online Författare: Sönnichsen, Rikke ; Öberg Lauritsen, Anne Språk: Dan Antal referenser: 5 Dokumenttyp: Fallbeskrivning UI-nummer: 13127214

Tidskrift

Ugeskrift for Laeger 2013;175(44)2647-8 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Hypoglossus and laryngeal nerves palsy after an intubation for Legionella infection Extracranial involvement of the hypoglossal nerve and recurrent laryngeal branch of the vagal nerve can be a complication of anaesthetic airway management (Tapia’s syndrome) or focal involvement due to Legionella infection. We present a patient with bilateral hypoglossal and unilateral recurrent laryngeal nerves palsy after a complicated intubation and a Legionella infection. Clarithromycin therapy was started. Within months, tongue mobility and swallowing gradually improved. Two months after discharge persisting unilateral recurrent nerve palsy was observed.