ArticleRespiratory medicine case reports2025
Inducible laryngeal obstruction in a healthcare worker exposed to hydrogen peroxide, peracetic acid, and acetic acid.
Article in Respiratory medicine case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
This report describes a case of severe inducible laryngeal obstruction (ILO) in an emergency department nurse. Onset of the condition occurred after an episode of exposure to a disinfectant product containing hydrogen peroxide, peracetic acid, and acetic acid. Previously exposures had been tolerated by the nurse over a period of nine months. Influenza infection may have been a predisposing factor. Despite various interventions, including botulinum toxin A injections, suture lateralization of the right true vocal cord, and right CO2 laser transverse cordotomy with partial medial arytenoidectomy, the patient continued to experience severe symptoms. Ultimately, a tracheostomy was performed to alleviate the obstruction. This case highlights the need for heightened clinician awareness, early and accurate diagnosis, and the development of effective management strategies for ILO patients.
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