Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3228700 | Annals of Emergency Medicine | 2016 | 4 Pages |
Abstract
We report a rare case of acute upper airway obstruction caused by spontaneous retropharyngeal hemorrhage as a result of hemophilia A in a 16-year-old pediatric patient who routinely received factor VIII replacement. Initial diagnosis was delayed because the patient presented with symptoms, such as throat pain and odynophagia, similar to those of common benign upper airway infections. Within 2 days of the initial presentation of symptoms, the patient went into respiratory failure as a result of retropharyngeal hemorrhage. The possibility of spontaneous retropharyngeal or epiglottic hemorrhage or hematoma should be considered as a cause of rapidly progressing odynophagia and dyspnea by hemophilia patients.
Related Topics
Health Sciences
Medicine and Dentistry
Emergency Medicine
Authors
Tomohiro Yamamoto, Martin Schmidt-Niemann, Ehrenfried Schindler,