Airway Watch: A Rare Case of Adult Epiglottitis.
| Autor: | Adams CP; Emergency Medicine, Madigan Army Medical Center, Tacoma, USA., Ajhar A; Emergency Medicine, Madigan Army Medical Center, Tacoma, USA., Tolson DR; Emergency Medicine, Madigan Army Medical Center, Tacoma, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Nov 06; Vol. 16 (11), pp. e73160. Date of Electronic Publication: 2024 Nov 06 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.73160 |
| Abstrakt: | Epiglottitis is an acute inflammatory condition involving the epiglottis and other supraglottic structures that may lead to airway obstruction. Historically, this condition primarily affected the pediatric population and was secondary to Haemophilus influenzae (Hib) infection. Since the vaccination program against Hib serotype B started at age two months, the number of affected pediatric patients has seen a drastic decline. Epiglottitis is now a condition that primarily affects adults. This case report presents a 58-year-old fully vaccinated female presenting with severe throat pain, odynophagia, subjective dyspnea, and chills for two days. During her evaluation, the patient underwent bedside nasopharyngoscopy by the emergency medicine team and was treated appropriately prior to evaluation by an otolaryngologist (ENT). The patient underwent a second nasopharyngoscopy with ENT 75 minutes after the original, which demonstrated vast improvements in the patient's clinical picture, allowing her to avoid intubation. This report highlights the importance of having epiglottitis on the differential for adults, the importance of the emergency medicine physician in performing nasopharyngoscopy, and early intervention with antibiotics and corticosteroids* to improve patient outcomes. Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Adams et al.) |
| Databáze: | MEDLINE |
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