95 results match your criteria Acute Epiglottitis Imaging

Factors Affecting Patients with Concurrent Deep Neck Infection and Acute Epiglottitis.

Diagnostics (Basel) 2021 Dec 23;12(1). Epub 2021 Dec 23.

School of Medicine, Chang Gung University, Taoyuan 333, Taiwan.

Deep neck infection (DNI) is a serious disease of deep neck spaces that can lead to morbidities and mortality. Acute epiglottitis (AE) is a severe infection of the epiglottis, which can lead to airway obstruction. However, there have been no studies of risk factors in patients with concurrent DNI and AE. Read More

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December 2021

Clinical and Microbiological Factors Associated With Abscess Formation in Adult Acute Epiglottitis.

Ann Otol Rhinol Laryngol 2021 Nov 28:34894211051817. Epub 2021 Nov 28.

2nd Otolaryngology Department, School of Medicine, "Attikon" University Hospital, National & Kapodistrian University of Athens, Athens, Greece.

Objectives: To evaluate clinical and microbiological findings that are correlated with abscess formation in adult acute epiglottitis (AE).

Methods: We reviewed 140 cases of adult AE. Demographic, clinical, imaging, and microbiological findings are analyzed for all patients with AE in comparison to those with epiglottic abscess (EA). Read More

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November 2021

Cannabis induced thermal epiglottitis in a pediatric patient.

Am J Emerg Med 2021 Nov 13;49:114-116. Epub 2021 May 13.

Department of Pediatrics, Section on Infectious Disease, United States of America. Electronic address:

Acute epiglottitis is an airway emergency presenting with edema and inflammation of the epiglottis and aryepiglottic folds [1]. Infectious and other non-infectious etiologies may cause significant airway injury presenting with similar clinical symptoms and radiographic findings [1]. While many causes of thermal epiglottitis have been described in the pediatric and young adult population, we describe an unusual case of an adolescent patient with cannabis induced thermal epiglottitis. Read More

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November 2021

Diagnosis by forensic autopsy of cannula malposition resulting in fatal tension pneumothorax after attempted percutaneous tracheostomy: A short communication.

J Forensic Leg Med 2021 Jul 6;81:102177. Epub 2021 May 6.

Department of Forensic Medicine, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.

Percutaneous tracheostomy is commonly performed in the emergency department or intensive care unit to secure the airways of patients. This procedure is associated with a low incidence of complications; however, some of them, such as iatrogenic pneumothorax, can be fatal. Pneumothorax after percutaneous tracheostomy is most often caused by perforation of the tracheal wall or malposition of the cannula. Read More

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Tidsskr Nor Laegeforen 2020 09 11;140(13). Epub 2020 Sep 11.

Background: Acute epiglottitis in adults is a rare, potentially life-threatening condition caused by a bacterial infection in the epiglottis. Typical symptoms are fever, sore throat, and respiratory distress caused by upper airway obstruction. Proper treatment is needed for a good outcome. Read More

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September 2020

Acute Adult Supraglottitis: An Impending Threat to Patency of Airway and Life.

Cureus 2020 Aug 23;12(8):e9976. Epub 2020 Aug 23.

Infectious Diseases, Hamad Medical Corporation, Doha, QAT.

Introduction Acute adult supraglottitis (AAS) is one of the upper airway infections that can potentially cause upper airway obstruction and, if not treated promptly, can be life-threatening. The widespread use of vaccines against has decreased the incidence of epiglottitis in children, whereas the incidence of AAS is on the rise. We aim to highlight the presentation, diagnosis, and management in AAS with our study. Read More

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Unilateral arytenoid swelling in acute epiglottitis suggests the presence of peritonsillar abscess.

Auris Nasus Larynx 2020 Dec 18;47(6):1023-1026. Epub 2020 Jul 18.

Department of Otorhinolaryngology Head and Neck Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, 8-35-1 Sakuragaoka, Kagoshima City 890-8520, Kagoshima, Japan.

Objective: To investigate the incidence of acute epiglottitis (AE) and the clinical features of patients with AE complicated by peritonsillar abscess (PTA), considering that PTA, especially inferior-type PTA, is often a comorbidity of AE.

Methods: We retrospectively reviewed the medical records of patients who were diagnosed as having AE by otolaryngologists and referred to our hospital between January 2009 and December 2017. All the patients underwent laryngeal endoscopy and contrast-enhanced computed tomography (CT) for examination of the severity of AE and its complications by other infections, including PTA. Read More

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December 2020

Leukoplakia or LPR: The Misdiagnosis of Laryngeal Tuberculosis.

Ear Nose Throat J 2021 Sep 29;100(5_suppl):549S-553S. Epub 2019 Nov 29.

Department of Otolaryngology, 117947Jining No. 1 People's Hospital, Jining, Shandong, China.

Objective: The objective is to reduce the rates of misdiagnosis and inappropriate treatment of laryngeal tuberculosis (LTB).

Study Design: Retrospective case series.

Materials And Methods: Medical records of 3 histopathology-confirmed cases at a tertiary medical center from 2000 to 2018. Read More

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September 2021

A Lot to Choke on: Case of Adult Epiglottitis with Concurrent Peritonsillar Abscess in a Patient with a Sore Throat.

J Emerg Med 2018 Dec 17;55(6):841-844. Epub 2018 Oct 17.

University of California San Diego, San Diego, California.

Background: In the winter months, one often sees a large increase in the volume of patients presenting to emergency departments with acute pharyngitis. While most cases of acute pharyngitis are benign, a rare minority can be life threatening.

Case Report: We report a case of epiglottis with a concomitant peritonsillar abscess (PTA) in an adult who presented to the emergency department with a sore throat. Read More

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December 2018

Accuracy of objective parameters in acute epiglottitis diagnosis: A case-control study.

Medicine (Baltimore) 2018 Sep;97(37):e12256

Department of Emergency Medicine Department of Radiology, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, South Korea.

Lateral neck radiography is often used as a screening tool in emergency departments for suspected acute epiglottitis. The qualitative radiographic signs have been mainly used. The aim of this study was to evaluate the accuracy of objective radiographic parameters to aid diagnosis of acute epiglottitis. Read More

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September 2018

Acute epiglottitis with intramural oesophageal dissection.

BMJ Case Rep 2018 Mar 7;2018. Epub 2018 Mar 7.

Réanimation Médicale, Groupement Hospitalier Edouard Herriot, Lyon, France.

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Adult onset Kawasaki disease presenting with acute epiglottitis findings.

Braz J Otorhinolaryngol 2020 Dec 5;86 Suppl 1:67-71. Epub 2017 Oct 5.

Wakayama Medical University, Department of Otorhinolaryngology-Head and Neck Surgery, Wakayama, Japan. Electronic address:

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December 2020

Thumb and vallecula signs in acute infectious epiglottitis.

CMAJ 2017 10;189(41):E1289

Mitoyo General Hospital, Himehama, Toyohama-cho, Kanonji-city, Kagawa, Japan.

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October 2017

The thumb sign.

N Z Med J 2017 07 21;130(1459):71-72. Epub 2017 Jul 21.

Junior Resident in Radiology, Dept of Radiology, Mahatma Gandhi Medical College and Research Institute, Pillaiyarkuppam, Pondicherry 607402, India.

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Do we need a change in ED diagnostic strategy for adult acute epiglottitis?

Am J Emerg Med 2017 Oct 20;35(10):1519-1524. Epub 2017 Apr 20.

Department of Emergency Medicine, Sanggye Paik Hospital, Inje University College of Medicine, 1342 Dongil-ro, Nowon-gu, Seoul 139-707, Republic of Korea.

Objectives: To retrospectively evaluate the diagnostic performance of qualitative and quantitative radiographic parameters for diagnosing adult acute epiglottitis, and identify the prevalence and risk factors of false-negative neck radiography-based diagnosis of acute epiglottitis.

Methods: An emergency physician and a radiologist independently reviewed neck radiographs of 91 patients with laryngoscopy-confirmed acute epiglottitis and 91 control subjects between March 2010 and June 2016 for qualitative and quantitative radiographic parameters of acute epiglottitis, and concluded a diagnosis. Receiver operating characteristic (ROC) curves were constructed to assess the diagnostic performance of radiographic parameters, while independent risk factors of false-negative diagnosis were determined by multivariate logistic regression analysis. Read More

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October 2017

Hypertrophic pachymeningitis of the craniocervical junction mimicking acute epiglottitis.

Am J Emerg Med 2016 Dec 14;34(12):2467.e3-2467.e4. Epub 2016 Jun 14.

Department of Neurosurgery, Fujita Health University Hospital, Toyoake, Japan.

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December 2016

Thumb sign: acute epiglottitis.

BMJ Case Rep 2016 May 31;2016. Epub 2016 May 31.

Department of Otorhinolaryngology, Head and Neck Surgery, Mitoyo General Hospital, Kannonji, Kagawa, Japan.

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Imaging Acute Airway Obstruction in Infants and Children.

Radiographics 2015 Nov-Dec;35(7):2064-79. Epub 2015 Oct 23.

From the Department of Radiology, University of British Columbia, 3350-950 W 10th Ave, Vancouver, BC, Canada V5Z 1M9 (K.E.D., L.K.Y.); Zanvyl Krieger School of Arts and Sciences, Johns Hopkins University, Washington, DC (A.T.R.); and Department of Radiology, British Columbia Children's Hospital, Vancouver, BC, Canada (L.K.Y.).

Acute airway obstruction is much more common in infants and children than in adults because of their unique anatomic and physiologic features. Even in young patients with partial airway occlusion, symptoms can be severe and potentially life-threatening. Factors that predispose children to airway compromise include the orientation of their larynx, the narrow caliber of their trachea, and their weak intercostal muscles. Read More

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September 2016

Cervical necrotizing fasciitis as a complication of acute epiglottitis managed with minimally aggressive surgical intervention: Case report.

Ear Nose Throat J 2015 Jul;94(7):E5-7

Department of Otolaryngology, 5A ENT Clinic, Royal Hobart Hospital, 48 Liverpool St., Hobart 7000, Tasmania, Australia.

Cervical necrotizing fasciitis secondary to epiglottitis is rare. The standard treatment of this severe condition has long been early and aggressive surgical debridement and adequate antimicrobial therapy. We report the case of an immunocompetent 59-year-old man who developed cervical necrotizing fasciitis as a complication of acute epiglottitis. Read More

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Acute epiglottitis in adults: an under-recognized and life-threatening condition.

S D Med 2013 Aug;66(8):309-11, 313

Sanford School of Medicine, University of South Dakota, USA.

Epiglottitis is a potentially life-threatening condition resulting from infection of the epiglottis and surrounding structures, causing classical signs and symptoms related to inflammation and progressive airway obstruction. We briefly present two recent adult cases of epiglottitis, followed by a review of the literature concerning the subject. In diagnosing epiglottitis, direct visualization by laryngoscopy is the gold standard. Read More

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Epiglottic abscess as a complication of acute epiglottitis.

Am J Otolaryngol 2013 Jul-Aug;34(4):362-5. Epub 2013 Feb 5.

Department Of Otolaryngology Head and Neck Surgery, Soroka University Medical Center and Faculty of Health Sciences, Beer Sheva, Israel.

Objective: An epiglottic abscess is considered a life-threatening medical situation that can cause death by obstruction the upper airways. We describe a 58-year-old man who presented to our hospital with sore throat, dysphagia and dysphonia.

Materials And Methods: A fiberoptic laryngoscope (FOL) demonstrated beefy red edematous epiglottis with edema extending from the base of the tongue to the aryepiglottic folds and arytenoids. Read More

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November 2013

Case Report: Acute tuberculous laryngitis presenting as acute epiglottitis.

Indian J Radiol Imaging 2011 Oct;21(4):284-6

Department of Clinical Radiology, Al Sabah Hospital, Ministry of Health, Kuwait City, Kuwait.

The incidence of laryngeal tuberculosis (TB), which had dropped dramatically after the institution of modern anti-TB chemotherapy, has shown recent reemergence. It is important to be aware of its possibility, especially as it can present with nonspecific upper airway symptoms and a frequent lack of constitutional manifestations. We report such a case presenting as acute epiglottitis, with diffuse involvement of the supraglottic larynx associated with reactivation lung TB. Read More

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October 2011

Use of bedside sonography for diagnosing acute epiglottitis in the emergency department: a preliminary study.

J Ultrasound Med 2012 Jan;31(1):19-22

Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea.

Objectives: The purpose of this study was to investigate the ability of sonography to identify acute epiglottitis in the emergency department.

Methods: Fifteen patients with a final diagnosis of acute epiglottitis from indirect laryngoscopy by an otolaryngologist were enrolled in the study. To compare the normal epiglottis and acute epiglottitis, 15 healthy volunteers were assigned to a control group. Read More

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January 2012

Emergency imaging assessment of acute, nontraumatic conditions of the head and neck.

Radiographics 2010 Sep;30(5):1335-52

Department of Radiology, Baylor University Medical Center, Dallas, TX 75246, USA.

Patients often present to the emergency department with a wide variety of nontraumatic infectious, inflammatory, and neoplastic conditions of the head and neck. Because the use of cervical and neck computed tomography (CT) has become routine in the emergency setting, knowledge of the imaging findings of common acute conditions of the head and neck is essential to ensure an accurate diagnosis of these potentially life-threatening conditions, which include oral cavity infections, tonsillitis and peritonsillar abscess, sialadenitis, parotiditis, diskitis, thrombophlebitis, periorbital and orbital cellulitis, infectious cervical lymphadenopathy, and various neoplasms. Less common conditions that require rapid diagnosis and treatment include epiglottitis, invasive fungal sinusitis, angioedema, and deep neck abscess. Read More

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September 2010

Bedside ultrasonography as a safe and effective tool to diagnose acute epiglottitis.

Am J Emerg Med 2011 Mar 1;29(3):359.e1-3. Epub 2010 Aug 1.

Emergency Department, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.

Acute epiglottitis is a true airway emergency in the emergency department (ED). The patient may appear very toxic and rapidly progress to respiratory distress and life-threatening condition. The inflammatory process includes not only epiglottis but also the rest of the supraglottic area including the vallecula, aryepiglottic folds, and arytenoids. Read More

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Epiglottitis due to nontypeable Haemophilus influenzae in a vaccinated child.

Int J Pediatr Otorhinolaryngol 2010 Feb 16;74(2):218-20. Epub 2009 Dec 16.

Madigan Army Medical Center, Otolaryngology-Head and Neck Surgery, Fitzsimmons Dr, Tacoma, WA 98431, United States.

Once a prevalent disease, acute epiglottitis in children has become a rare entity. The introduction of the Haemophilus influenzae type b vaccine has had a dramatic impact on the number of invasive infections caused by this organism. However, physicians must be aware that epiglottitis may result from vaccine failures or from infection with other pathogenic organisms. Read More

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February 2010

Efficacy of spinal needle aspiration for epiglottic abscess in 90 patients with acute epiglottitis.

Acta Otolaryngol 2009 Jul;129(7):760-7

Department of Otorhinolaryngology-Head and Neck Surgery, Masan Samsung Medical Center, Sungkyunkwan University School of Medicine, Masan.

Conclusion: Patients with epiglottic abscesses showed more severe symptoms than those with acute epiglottitis and were at increased risk of airway compromise. All 11 patients with epiglottic abscesses underwent spinal needle aspiration; all were cured without severe complications. These findings indicate that spinal needle aspiration is both safe and effective in patients with epiglottic abscesses. Read More

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Adult vallecular cyst: thirteen-year experience.

Otolaryngol Head Neck Surg 2008 Mar;138(3):321-7

ENT Histopathologic Research Laboratory, Meir Medical Center, Kfar Saba, Israel.

Objective: To assess the characteristics of adult vallecular cyst.

Study Design And Settings: A retrospective chart review from a university affiliated hospital.

Subjects And Methods: Clinical manifestations and airway management of 38 consecutive adult patients with vallecular cyst admitted between 1992 and 2004 were studied. Read More

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An infant with fever and stridor.

Pediatr Emerg Care 2008 Jan;24(1):46-9

Division of Critical Care Medicine, Cincinnati Children's Hospital Medical Center and Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 45229-3039, USA.

The clinical spectrum of infectious causes of upper airway obstruction has changed dramatically in the last few decades, especially after the introduction of vaccines against diphtheria and Haemophilus influenzae. Nevertheless, infectious causes of upper airway obstruction remain an important source of morbidity and potential mortality in the pediatric age group. Physicians caring for children need to be cognizant of the clinical presentation of this group of disorders because prompt recognition and early appropriate treatment are lifesaving. Read More

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January 2008

[Pseudomembranous supraglottitis with airway compromise in a patient with recurrent tonsillar carcinoma].

Can J Anaesth 2008 Jan;55(1):42-6

Clement J. Zablocki Veterans Affairs Medical Center, Anesthesia Service, 5000 W. National Avenue, Milwaukee, Wisconsin 53295, USA.

Purpose: In this report, we discuss a patient with acute pseudomembranous supraglottitis complicating recurrent tonsillar carcinoma and describe the ramifications of these disorders on perioperative management.

Clinical Features: The patient was an acutely ill man with a history of right tonsillar carcinoma originally treated with chemoradiation therapy and a radical neck dissection who presented with a brief history of fever, dyspnea, and stridor. The soft tissue of his neck was very stiff, his neck mobility was limited, and his mouth opening was restricted by pain and radiation-induced fibrosis. Read More

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January 2008