THIS form occurs in the course of many diseases and involves as a rule the deeper tissues. The symptoms vary widely in intensity, ranging from those of simple catarrh to the most severe case of edema calling for immediate surgical interference.
1. Measles is usually attended by extension to the throat of the same inflammatory process seen upon the surface, and resolution or healing usually progresses without complication. Very rarely edema or ulceration occurs.
2. Variola and Varicella. The appearances of laryngeal complication in these diseases are numerous, and vary in intensity with that of the general disorder. The symptoms are those of croup; but the characteristics of the disease are very clear, there being present small pustules and ulcerations on the cords and membranes.
3. Scarlet fever is often attended by involvement of the larynx; in the vast majority of cases, however, there is little danger and the trouble clears up along with the general malady.
4. Erysipelas. There is a form of acute laryngitis closely associated with erysipelas if not actually the disease itself appearing locally. It is a dangerous form, being accompanied by edema, high fever, great hoarseness and difficulty of breathing from the start.
5. Typhoid Fever. Signs of laryngitis may appear in the beginning of this disease, when it is very common and not at all dangerous;, or as late as two months subsequent to or during recovery, when it is nearly always fatal, so rapidly do the symptoms appear.
6. Pertussis. In whooping cough the laryngeal symptoms are marked, but they are not attended as in other diseases by ulcerative processes. The severe cough causes congestion and sometimes slight hemorrhage. The most annoying feature of trouble in this connection is that the congestion may persist indefinitely and the patient be subject to fits of coughing on any provocation.
Treatment. The treatment of symptomatic laryngitis does not differ any from that of the acute form. As a rule the laryngeal complications in infectious diseases are slight, but the possibility of complications in this direction must always be borne in mind, owing to the fact that they may become so rapidly fatal when untreated.
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