PMID: 11906390Mar 22, 2002Paper

Acute epiglottitis in adults: the Royal Melbourne Hospital experience

ANZ Journal of Surgery
E Y Wong, R G Berkowitz

Abstract

To examine the common presentations and management of acute epiglottitis in adults. Retrospective clinical study of 17 consecutive adult patients who presented to the Royal Melbourne Hospital between January 1988 and December 2000 was undertaken. The mean patient age was 47 years (range 20-87 years) and the male-to-female ratio was 1.8 : 1.0. Peak incidence occurred in September during early spring. All patients presented with sore throat and dysphagia; however, respiratory distress was only noted in 65%. The most common signs were temperature and tachycardia. Four patients (23%) required endotracheal intubation, which was performed electively in three and as an emergency in one. Three of 14 blood cultures were positive, two yielded Haemophilus influenzae type b and one yielded Streptococcus mitis. One of the four throat cultures was positive for Haemophilus influenzae type b. Twelve patients underwent awake flexible laryngoscopy under topical anaesthetic as part of their initial assessment, and there were no complications associated with this procedure. There was no mortality. The diagnosis of acute epiglottitis in the adult population is difficult as respiratory distress may be absent. Patients who have a significant sore thr...Continue Reading

References

Oct 1, 1991·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·E Crosby, D Reid
Dec 1, 1990·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·P Wurtele
Feb 1, 1990·The Laryngoscope·M WolfG Leventon
Aug 1, 1989·The Annals of Otology, Rhinology, and Laryngology·J F WilsonT A Tami
Dec 1, 1986·Critical Care Medicine·M A Devita, I J Wagner
Apr 1, 1987·Annals of Emergency Medicine·D A Guss, J E Jackson
Dec 1, 1995·Chest·M F Mayo-SmithF J Schiffman
Nov 2, 1994·JAMA : the Journal of the American Medical Association·T D FrantzC P Quesenberry
Aug 1, 1993·The Laryngoscope·E G KassR J Toohill
Jul 1, 1996·The American Journal of Emergency Medicine·M J Carey
Jul 22, 1998·Scandinavian Journal of Infectious Diseases·B TrollforsJ Pilichowska-Paszkiet
Jun 10, 2000·Journal of Paediatrics and Child Health·P McIntyre

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Citations

Mar 14, 2009·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Clement S K CheungTimothy H Rainer
Jul 14, 2010·Southern Medical Journal·Mohannad Al-QudahMaen Alqdah
Nov 26, 2010·Journal of Paediatrics and Child Health·James Tibballs, Tom Watson
Jun 8, 2007·Emerging Infectious Diseases·Mark G KortepeterRobert A Gasser
May 3, 2014·Nihon Jibiinkoka Gakkai kaiho·Hiroshi NonoyamaHiromi Ueda
Aug 1, 2007·Acta otorrinolaringológica española·Vicente Pino RiveroFederico Del Castillo Beneyto
May 27, 2008·Auris, Nasus, Larynx·Birgir BriemHannes Petersen
Feb 12, 2008·Otolaryngologic Clinics of North America·Christine M Glastonbury
Sep 8, 2011·The Laryngoscope·Argyro J BizakiMarkus Rautiainen
May 12, 2017·The Laryngoscope·Yael Shapira GalitzYonatan Lahav
Jun 17, 2011·The Annals of Otology, Rhinology, and Laryngology·Faruque RiffatJohn McGuinness
Jun 20, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Barak RingelYael Oestreicher-Kedem
May 26, 2018·Emergency Medicine Australasia : EMA·Akmez Latona, Ashraaf Latona
Nov 30, 2021·The Annals of Otology, Rhinology, and Laryngology·Giorgos SiderisAlexander Delides

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