Investigation of a cluster of acute epiglottitis in Vendée, western France, October - December 2022.

Autor: Picard G; French National Public Health Agency in Pays de la Loire, Nantes, France. Electronic address: Gwenola.picard@santepubliquefrance.fr., Loury P; French National Public Health Agency in Pays de la Loire, Nantes, France., Ollivier R; French National Public Health Agency in Pays de la Loire, Nantes, France., Guimard T; Vendée Departmental Hospital Center, La Roche-sur-Yon, France., Lacherade JC; Vendée Departmental Hospital Center, La Roche-sur-Yon, France., Vandamme YM; University Hospital Center, Angers, France., Boukraa F; Regional health agency of Pays de la Loire, Nantes, France., King LA; French National Public Health Agency in Pays de la Loire, Nantes, France.
Jazyk: angličtina
Zdroj: Infectious diseases now [Infect Dis Now] 2024 Aug; Vol. 54 (5), pp. 104934. Date of Electronic Publication: 2024 May 31.
DOI: 10.1016/j.idnow.2024.104934
Abstrakt: Objectives: In our investigation of an episode of clustered acute epiglottitis occurring in Vendée, western France, between October and December 2022, we described the reported cases and confirmed its unusual character at several geographic levels.
Methods: The investigation relied on three data sources: hospitalization and emergency department reports; national reference centre data; and data from the French syndromic surveillance system.
Results: The six patients were male, with an average age of 42 years [32-66]; all were hospitalized in an ICU, and one of them died. Documented risk factors for epiglottitis (active smoking, regular alcohol consumption, overweight) were present in the majority of cases. No causal pathogen was identified. Syndromic surveillance data confirmed increased acute epiglottitis at the local, regional and national levels.
Conclusion: We not only characterized the episode of serious clustered acute epiglottitis in Vendée, but also observed a nationwide increase in this pathology occurring concomitantly with increased circulation in France of streptococcus A.
(Copyright © 2024 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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