Adult epiglottitis.

Title

Adult epiglottitis.

Creator

Fontanarosa P B; Polsky S S; Goldman G E

Publisher

The Journal of emergency medicine

Date

1989
1989-06

Description

Adult epiglottitis (or "supraglottitis") is an uncommon but increasingly recognized entity. Though prior studies emphasized the fulminant nature of the disease, recent evidence suggests that epiglottitis in adults may follow a relatively less severe clinical course, especially if Hemophilus influenza is not isolated. The records of 28 patients with adult epiglottitis were retrospectively analyzed to characterize the presenting features and clinical course of the disease. The diagnosis was established by laryngoscopy, lateral cervical radiographs, or both. Laryngoscopy did not precipitate airway obstruction in any patient. The majority of patients experienced a relatively benign clinical course and improved with medical management that consisted of ICU admission, intravenous antibiotics, hydration, inhaled mist, and corticosteroids. Only two patients (7%) required airway support with orotracheal intubation because of respiratory difficulty. There were no instances of respiratory arrest or airway obstruction. No tracheostomies were performed, and there were no deaths. It was concluded that adult epiglottitis can follow a less severe course than classically described.

Subject

Adult; Female; Humans; Male; Middle Aged; Adolescent; Aged; *Epiglottitis/diagnosis/therapy; *Laryngitis/diagnosis/therapy; Haemophilus Infections/diagnosis/therapy; Haemophilus influenzae

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

223–231

Issue

3

Volume

7

Citation

Fontanarosa P B; Polsky S S; Goldman G E, “Adult epiglottitis.,” NEOMED Bibliography Database, accessed January 23, 2022, https://neomed.omeka.net/items/show/5404.

Social Bookmarking