A Case of Mumps with Edema of Larynx.

We report a case of mumps with edema of the larynx requiring urgent tracheotomy.The patient was a 47-year-old man. Dyspnea appeared secondary to swelling in the parotid division. Swelling of the whole face was apparent. There was trismus, and the tonsil and soft palate could not be observed due to severe swelling of the floor of mouth. The tonsilla lingualis, hypopharyngeal walls, and epiglottis showed progressive swelling. Conservative treatment was performed, but an urgent tracheotomy was required due to aggravation of dyspnea. This case was diagnosed as mumps by the clinical course and virus serodiagnosis. We searched the literature for a combination of mumps and edema of the larynx using MEDLINE for 33 years from 1966 to 2000, then performed a second search from 1987 to 2000, using coalescence retrieval, but could not find a previous report of a similar case. There was a description of mumps with edema of larynx in the Nelson Textbook of Pediatrics. This is the first report of mumps accompanied by edema of larynx in Japan. Edema of larynx seemed to be caused by swelling of the tonsilla lingualis and hypopharyngeal wall which appeared to circulatory disturbance.