Possible Causes for stridor Pharyngitis Epiglottitis causes fever, difficulty swallowing, drooling, and stridor. The infection is usually confined to the epiglottis. [aafp.org] For epiglottitis, look for stridor as a symptom. F. necrophorum is the bacterium that causes Lemierre's syndrome, or internal jugular vein thrombophlebitis. [ncbi.nlm.nih.gov] However, a child who appears seriously ill or has stridor or any other respiratory symptoms should not be transported to the x-ray suite. [msdmanuals.com] Bilateral Recurrent Laryngeal Nerve Paralysis Massive stridor on inspiration is the key symptom. Indirect laryngoscopy confirms the diagnosis. [ncbi.nlm.nih.gov] In the pediatric population, hypocalcaemia constitutes an important cause for stridor and respiratory distress due to laryngospasm. (5) There are several reports on stridor [signavitae.com] An inspiratory stridor and hoarse cry were noted at a few hours of age. [nature.com] Thyroid Lymphoma We report the case of 71 year old woman who presented with severe inspiratory stridor due to a compressing primary thyroid lymphoma. [ncbi.nlm.nih.gov] All patients presented with an anterior neck mass while four (44.4%) presented with stridor and vocal cord palsy. [ncbi.nlm.nih.gov] Abstract Tumors originating in the neck are well-known causes of progressive dysphagia and dyspnea (including stridor), and thyroid lymphoma is an uncommon example. [uknowledge.uky.edu] Bee Sting The following is adapted from "Wasp Stings,” Bee and Pest Notes, Publication 7449, February 1998, produced by IPM Education and Publications, UC Statewide IPM Project, University of California, Davis, CA 95616-8620. Nearly everyone has been stung by an insect at one time or another. It is an unpleasant experience[…] [web.archive.org] Angioedema Hydromorphone was administered with subsequent rapid development of stridor and edematous changes of the tongue, uvula, and surrounding mucosa. [ncbi.nlm.nih.gov] If airway compromise is suspected (stridor, wheezing, diminished air movement) or the patient is in shock, treat immediately with IM epinephrine, start oxygen and IV fluids [amboss.com] If stridor occurs, re-intubation can be performed immediately over the exchange catheter. [emcrit.org] Recurrent Small-Cell Carcinoma of the Lung Changes in voice if the recurrent laryngeal nerve is compressed Hemi-diaphragmatic paralysis when the phrenic nerve is involved Dysphagia as a result of esophageal compression Stridor [symptoma.com] […] that supplies the vocal cords Shortness of breath, resulting from compression of the nerve that supplies the muscles of the diaphragm, or the lungs filling with fluid and stridor [webmd.com] Spasmodic Croup Our results show that stridor in this patient was due to dynamic inspiratory constriction of the vocal cords. [ncbi.nlm.nih.gov] (For common causes of stridor, see the box below.) What causes stridor? [americannursetoday.com] Abstract Recurrent inspiratory stridor, for which there appears to be no organic basis, can present a serious medical problem. [ncbi.nlm.nih.gov] Laryngospasm Two patients with laryngeal stridor secondary to myasthenia gravis are reported. [ncbi.nlm.nih.gov] [L. a harsh, creaking sound] stridor (strī dôr), n a peculiar, harsh, vibrating sound produced during respiration. stridor, inspiratory, n the stridor heard in inspiration [medical-dictionary.thefreedictionary.com] Despite treatment with steroids systemically and locally, antibiotics and an antihistamine, the stridor worsened. [ncbi.nlm.nih.gov] Relapsing Polychondritis Imaging data was subsequently correlated with corresponding clinical symptoms like fever, dyspnea, stridor, uveitis, pain, hearing impairment as well as with acute-phase-inflammatory [ncbi.nlm.nih.gov] […] presentation and eventually 60% will develop respiratory tract involvement which is manifested by a combination of symptoms including laryngeal tenderness, hoarseness, dyspnea, and stridor [radiopaedia.org] Tonsillar Abscess Sore throat associated with stridor and increased respiratory effort can signal imminent respiratory distress and requires immediate evaluation and management in a hospital [clinicaladvisor.com] Stridor is a late sign Consider direct laryngoscopy if any concern. Aspirate that pus! We rarely admit paratonsilar abscesses. [ucsfmed.wordpress.com] Kırk iki yaşında erkek hasta stridor, solunum güçlüğü, ağızdan salya akması, boğuk ses, ateş ve çene kitlenmesi ile başvurdu. [manuscriptmodule.com] Acute Laryngitis and/or Tracheitis The child then develops the characteristic “barking” cough, hoarseness, and inspiratory stridor. [clinicalgate.com] […] on inhalation, aka inspiratory stridor, dyspnea, high fever, toxic appearance Management Hospitalization, endotracheal tube, penicillin, cephalosporin. [medical-dictionary.thefreedictionary.com] The most frequent sign is the rapid development of stridor. It is occasionally confused with croup. If it is inflamed, a condition known as tracheitis can occur. [en.wikipedia.org] Bacterial Tracheitis In patients with Down's syndrome presenting with stridor tracheitis should be considered and appropriate treatment started. [ncbi.nlm.nih.gov] Bacterial tracheitis is a recently described clinical entity characterized by high fever, stridor, and airway obstruction. [ncbi.nlm.nih.gov] A previously healthy young adult presented with inspiratory stridor and hoarseness but minimal dysphagia. [ncbi.nlm.nih.gov] Peritonsillar Abscess No stridor, but the same area was now swollen as well as reddened. [nature.com] Sore throat associated with stridor and increased respiratory effort can signal imminent respiratory distress and requires immediate evaluation and management in a hospital [clinicaladvisor.com] Stridor may be a late sign and patients can decompensate rapidly. [entsho.com] Smoke Inhalation Injury Clinical features of airway burns include soot in the airway, stridor, hoarseness, singed nose hair, and mucosal ulceration Historically, survivors of explosions and fires [derangedphysiology.com] No statistically significant correlation was found between intubation and any of the classic symptoms of smoke inhalation: stridor, hoarseness, drooling, and dysphagia (all [ncbi.nlm.nih.gov] Upper airway injury usually causes symptoms within minutes but occasionally over several hours; upper airway edema may cause stridor. [msdmanuals.com] Follicular Thyroid Carcinoma Pain seldom is an early warning sign of thyroid cancer Other symptoms (eg, pain, stridor, vocal cord paralysis, hemoptysis, rapid enlargement) are rare – these symptoms can [thyroid.com.au] Unexplained hoarseness or stridor associated with goitre. A painless thyroid mass enlarging rapidly over a period of a few weeks. Palpable cervical lymphadenopathy. [patient.info] Any patient with a thyroid lump and associated stridor should be referred for same day review by a secondary care specialist, as this may be due to recurrent laryngeal nerve [patient.info] Tracheal Stenosis The patient presented with post-extubation stridor that worsened over three days. Initial evidence suggested tracheal stenosis. [ncbi.nlm.nih.gov] […] medical advances have impacted the diagnosis, management, and outcomes of pediatric laryngotracheal obstruction, and to describe the advantages of audio‐video documentation of stridorous [dx.doi.org] To illustrate a case of an iatrogenic mucosal tear in the trachea which caused a one-way valve effect, obstructing the airway and manifesting as post-extubation stridor. [ncbi.nlm.nih.gov] Laryngeal Disease see ENT Reasonably common Biphasic stridor inspiratory more prominent Most commonly idiopathic Occaisionally trauma Typically adult female with remote, routine intubation [quizlet.com] H. influenza Symptoms - early URI symptoms - 2-3 days - barking cough, stridor - exhausted, lying down 24. [slideshare.net] In children, congenital laryngeal stridor is the most common cause of chronic stridor. What are the symptoms of congenital laryngeal stridor? [stanfordchildrens.org] Bilateral Vocal Cord Paralysis We report a case of bilateral vocal cord paralysis leading to significant stridor in a patient with atypical parkinsonism (probable MSA). [ncbi.nlm.nih.gov] Two neonates presented with inspiratory stridor due to bilateral vocal cord paralysis associated with occipital encephalocele, Chiari malformation, and hydrocephalus in one [ncbi.nlm.nih.gov] Unlike the more common unilateral cord paralysis, bilateral cord dysfunction is often associated with preservation of voice and varying degrees of stridor that may lead to [ncbi.nlm.nih.gov] Airway Obstruction The shortness of breath and stridor would only resolve upon landing of the plane. [ncbi.nlm.nih.gov] It may cause stridor, respiratory distress, and severe airway obstruction in the narrow airway of a newborn and necessitates urgent surgical intervention. [ncbi.nlm.nih.gov] Introduction Laryngomalacia is the most common congenital laryngeal anomaly and is the most frequent congenital cause of stridor in infants. [pedsinreview.aappublications.org] Aspiration of Gastric Contents Bronchiectasis may follow. presentation of small particle partially obstructive aspiration is with dyspnoea, persistent coughing, wheeze, stridor and hypoxaemia non-obstructive [aic.cuhk.edu.hk] Differentiated Thyroid Gland Carcinoma Unexplained hoarseness or stridor associated with goitre. A painless thyroid mass enlarging rapidly over a period of a few weeks. Palpable cervical lymphadenopathy. [patient.info] Case 4 This is a 51 year old African American female who presented to our ER with stridor, dyspnea, odynophagia, and dysphonia. [peertechz.com] Any patient with a thyroid lump and associated stridor should be referred for same day review by a secondary care specialist, as this may be due to recurrent laryngeal nerve [patient.info] Tracheoesophageal Fistula Aryepiglottic split was performed and stridor improved dramatically. [ncbi.nlm.nih.gov] Two patients developed postoperative stridor secondary to recurrent laryngeal nerve palsy. In both of them, there was complete recovery. [ncbi.nlm.nih.gov] Occasional stridor was noted when the patient was agitated. [jaoa.org] Pharyngeal Disease Significantly fewer children over 1 year had neck swelling and no child over 3 years old had stridor. [adc.bmj.com] Stridor frequently is heard in these children. Diagnosis. [ahcmedia.com] Stridor, airway obstruction or drooling may also occur in patients with significant swelling. [antimicrobe.org] Congenital Laryngomalacia Symptoms of Congenital Laryngeal Stridor The main symptom of congenital laryngeal stridor is the high-pitched sound you hear when your baby breathes. [cooperhealth.org] What is congenital laryngeal stridor? [medcentral.org] Other characteristics of the stridor may include: The stridor changes with activity. The stridor is usually less noisy when the child is laying on his/her stomach. [childrensnational.org] Retropharyngeal Abscess DISCUSSION The main cause of stridor in children below one year of age is laryngomalacia. [scielo.br] Adults may have severe neck pain but less often have stridor. The posterior pharyngeal wall may bulge to one side. [merckmanuals.com] […] the neck gradually increases in size and is detected during the routine radiological screening for symptoms like pain, dysphagia, fever, dyspnoea, progressive inspiratory stridor [ncbi.nlm.nih.gov] Parapharyngeal Abscess CONCLUSION: Children with RPA most commonly present with restricted neck movements, fever and cervical lymphadenopathy, and rarely with respiratory distress or stridor. [ncbi.nlm.nih.gov] Clinical findings at presentation were: fever (93%), cervical lymphadenopathy (93%), neck pain (90%), torticollis (74%), odynophagia (64%), trismus (32%), drooling (22%) and stridor [ncbi.nlm.nih.gov] Retropharyngeal abscess and stridor in infants. [explainmedicine.com] Pseudobulbar Palsy The finding of stridor led to a detailed evaluation of the obstruction. [ncbi.nlm.nih.gov] […] glossopharyngeal or vagal nerves Laryngospasm, which is defined as a paroxysmal episode with the sensation that air cannot be moved in and out, accompanied by inspiratory stridor [nature.com] Medullary Thyroid Carcinoma Medullary thyroid carcinoma (MTC) is a malignant tumor originating from parafollicular C-cells and accounts for 4-10% of all thyroid carcinomas. MTC develops in either sporadic (75%) or hereditary form (25%). Mutations in the RET proto-oncogene are responsible for hereditary MTC and the rate of heritable disease[…] [ncbi.nlm.nih.gov] Hurthle Cell Carcinoma BACKGROUND: Follicular carcinomas of the thyroid gland, including its oncocytic variant (so-called Hurthle cell carcinoma), are subdivided into the indolent encapsulated ("minimally invasive") and the clinically aggressive widely invasive tumors. There are, however, cases of encapsulated follicular carcinoma that recur and[…] [ncbi.nlm.nih.gov] Foreign Body in the Bronchus After the bronchoscopy, the child is observed in a anaesthesia recovery room for stridor, respiratory distress or other signs suggestive of subglottic edema, damaged teeth [ijaweb.org] He had no nasal congestion, rhinorrhea, stridor, or previous history of difficulty breathing. Figure 1. [consultant360.com] In stridorous patients, racemic epinephrine via a nebulizer may be a temporizing measure until bronchoscopy can be performed. [emedicine.medscape.com]
