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<p>Introduction: Sepsis, often due to Urinary Tract Infections (UTIs), is a recognized risk factor for new-onset oropharyngeal dysphagia, which increases morbidity in critically ill patients. This report details the successful rehabilitation of sepsis-induced dysphagia in an elderly female. Case Presentation: An 88-year-old female with oropharyngeal dysphagia secondary to UTI and sepsis was admitted with an NG tube. Initial assessment revealed absent gag reflex, poor hyolaryngeal elevation, clinical aspiration signs, and significant deficits confirmed by Fiberoptic Endoscopic Evaluation of Swallowing (FEES). Intervention &amp; Outcome: The patient underwent an intensive, multimodal rehabilitation program comprising targeted oromotor exercises, the chin-tuck maneuver, and VitalStim neuromuscular electrical stimulation. Post-therapy FEES showed normalization of swallow physiology, effective bolus clearance, and the absence of penetration or aspiration. The NG tube was successfully removed, and the patient transitioned to a safe oral diet (IDDSI Levels 5-6). Conclusion: This case demonstrates that early, intensive, multimodal rehabilitation, augmented by VitalStim and guided by instrumental assessment, can effectively reverse acute oropharyngeal dysphagia secondary to UTI-associated sepsis.</p>

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Recovery of Swallowing Function Following UTI-Induced Sepsis Through Multimodal Therapy with VitalStim Therapy: A Clinical Case Report

  • 期刊论文

  • 发表日期：

    2026年2月17日

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  • Nihal Muneer,
  • Ananya V. Menon

摘要

Introduction: Sepsis, often due to Urinary Tract Infections (UTIs), is a recognized risk factor for new-onset oropharyngeal dysphagia, which increases morbidity in critically ill patients. This report details the successful rehabilitation of sepsis-induced dysphagia in an elderly female. Case Presentation: An 88-year-old female with oropharyngeal dysphagia secondary to UTI and sepsis was admitted with an NG tube. Initial assessment revealed absent gag reflex, poor hyolaryngeal elevation, clinical aspiration signs, and significant deficits confirmed by Fiberoptic Endoscopic Evaluation of Swallowing (FEES). Intervention & Outcome: The patient underwent an intensive, multimodal rehabilitation program comprising targeted oromotor exercises, the chin-tuck maneuver, and VitalStim neuromuscular electrical stimulation. Post-therapy FEES showed normalization of swallow physiology, effective bolus clearance, and the absence of penetration or aspiration. The NG tube was successfully removed, and the patient transitioned to a safe oral diet (IDDSI Levels 5-6). Conclusion: This case demonstrates that early, intensive, multimodal rehabilitation, augmented by VitalStim and guided by instrumental assessment, can effectively reverse acute oropharyngeal dysphagia secondary to UTI-associated sepsis.