1,574 results match your criteria Epiglottitis Adult
Isr Med Assoc J 2018 Dec;20(12):786-787
Department of Pediatrics, Padeh Poria Medical Center, Tiberias, Israel.
J Clin Anesth 2018 Dec 10;54:143-144. Epub 2018 Dec 10.
Department of Anesthesiology, Osaka Medical College, Japan.
Laryngoscope 2018 Nov 28. Epub 2018 Nov 28.
Department of Otolaryngology , Tenri Hospital, Tenri, Nara, Japan.
Objectives/hypothesis: "Hot potato voice" (HPV) is a thick, muffled voice caused by pharyngeal or laryngeal diseases characterized by severe upper airway obstruction, including acute epiglottitis and peritonsillitis. To develop a method for determining upper-airway emergency based on this important vocal feature, we investigated the acoustic characteristics of HPV using a physical, articulatory speech synthesis model. The results of the simulation were then applied to design a computerized recognition framework using a mel-frequency cepstral coefficient domain support vector machine (SVM). Read More
IDCases 2018 13;14:e00466. Epub 2018 Nov 13.
Department of Pharmacy, UCHealth Medical Center of the Rockies, Loveland, CO, USA.
Infect Drug Resist 2018 31;11:2063-2067. Epub 2018 Oct 31.
Department of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo, Japan,
was the main causative organism for acute epiglottitis in the pre- type b (Hib) vaccine era. However, with current widespread Hib vaccination, the causative organisms may have changed. Here, we report the case of a healthy infant with acute epiglottitis caused by community-acquired methicillin-resistant (MRSA). Read More
Emerg Med Clin North Am 2019 Feb;37(1):95-107
Department of Emergency Medicine, Loma Linda University School of Medicine, 11234 Anderson Street MC A-108, Loma Linda, CA 92354, USA. Electronic address:
Infection of the neck is a relatively common emergency department complaint. If not diagnosed and managed promptly, it may quickly progress to a life-threatening infection. These infections can result in true airway emergencies that may require fiberoptic or surgical airways. Read More
Emerg Med Clin North Am 2019 Feb;37(1):69-80
Department of Emergency Medicine, Northwestern University, 211 East Ontario - Suite 300, Chicago, IL 60611, USA. Electronic address:
This article reviews the presentation, diagnosis, and management of common and "can't miss" infections of the oropharynx, including streptococcal pharyngitis, infectious mononucleosis, peritonsillar abscess, retropharyngeal abscess, and epiglottitis. Read More
Clin Pract Cases Emerg Med 2018 Nov 16;2(4):338-340. Epub 2018 Oct 16.
St. Lucie Medical Center, Department of Emergency Medicine, Port St. Lucie, Florida.
Historically epiglottitis has been considered a childhood disease. However, the introduction of the type B vaccine has decreased the incidence of epiglottitis in children. It is important to recognize modern epiglottitis as a disease of adults. Read More
J Emerg Med 2018 Oct 31. Epub 2018 Oct 31.
University of Massachusetts Medical School, Worcester, Massachusetts; UMass Memorial Children's Medical Center, Worcester, Massachusetts.
Background: Pediatric foreign-body ingestions are common. Oral foreign bodies are rare but can be life-threatening. Management of their extraction requires knowledge and careful consideration of removal techniques, pharmacology, and potential complications. Read More
Aust Health Rev 2018 Oct 29. Epub 2018 Oct 29.
The aim of this study was to examine the characteristics and prevalence of all-cause unplanned hospital readmissions at a tertiary paediatric hospital in Western Australia from 2010 to 2014. A retrospective cohort descriptive study was conducted. Unplanned hospital readmission was identified using both 28- and 30-day measurements from discharge date of an index hospital admission to the subsequent related unplanned admission date. Read More
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
Pediatr Emerg Care 2018 Sep 21. Epub 2018 Sep 21.
Baylor College of Medicine.
The last 3 decades have seen a shift in the epidemiology of epiglottitis. Epiglottitis was once most commonly associated with Haemophilus influenzae type B. However, with the implementation of the H. Read More
Case Rep Pediatr 2018 28;2018:8398502. Epub 2018 Aug 28.
Department of Pediatrics, Japanese Red Cross Wakayama Medical Center, Wakayama, Japan.
Traditionally, it has been recommended that first-responders should place chopsticks or their hand in a child's mouth to prevent the child from biting their tongue during convulsion. The practice persists locally in parts of Japan and can cause adverse events. We report a traumatic epiglottitis following the thrusting of a guardians' hand into a 13-month-old girl's mouth to prevent her from biting her tongue. Read More
Medicine (Baltimore) 2018 Sep;97(37):e12256
Department of Emergency Medicine.
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
ANZ J Surg 2018 Nov 11;88(11):1135-1140. Epub 2018 Sep 11.
Department of Ear Nose and Throat/Head and Neck Surgery, Austin Health, Melbourne, Victoria, Australia.
Background: This study reviewed the demographics, presentation, management, complications and outcomes of acute epiglottitis post Haemophilus influenzae type-b vaccine introduction in Australia.
Methods: Retrospective review of acute epiglottitis at four Victorian tertiary centres from 2011 to 2016 was conducted. Patient characteristics, presentation, investigations, management, complications and outcomes were recorded. Read More
Am J Otolaryngol 2018 Nov - Dec;39(6):785-787. Epub 2018 Jul 25.
Department of Otolaryngology, MetroHealth Medical Center, 2500 Metrohealth Dr, Cleveland, OH 44109, United States of America. Electronic address:
Objective: Necrotizing supraglottitis is a rare but potentially morbid infection most often seen in immunocompromised patients. All reported cases have utilized intravenous antibiotic therapy as the mainstay of treatment and many have had associated morbidities.
Methods: We describe a case of a 50-year-old previously healthy female who presented with necrotizing epiglottis and was treated with immediate surgical debridement followed by directed antibiotic therapy. Read More
Int J Med Microbiol 2018 Oct 17;308(7):829-839. Epub 2018 Jul 17.
Pediatric Infectious Diseases, Department of Pediatrics, Medical Faculty Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, D-68167 Mannheim, Germany.
The Gram-negative bacterium Haemophilus influenzae (H. influenzae) can commensally colonize the upper respiratory tract, but also cause life threatening disease including epiglottitis, sepsis and meningitis. The H. Read More
JAAPA 2018 Aug;31(8):53
Lindsay Gietzen is an assistant professor and clinical coordinator of the PA program at Wayne State University in Detroit, Mich., At the time this article was written, Danielle Kury was a student in the PA program at Wayne State University. She now practices in the ED at William Beaumont Hospital-Troy in Troy, Mich. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Forensic Sci Med Pathol 2018 Jun 20. Epub 2018 Jun 20.
Department of Legal Medicine, University Medical Center Hamburg-Eppendorf, Butenfeld 34, 22529, Hamburg, Germany.
The bacterium Haemophilus influenzae type b (Hib) can cause severe and life-threatening infections such as epiglottitis and meningitis. The course of the disease can be very rapid, resulting in sudden death. The incidence of Hib-induced epiglottitis in children has declined since the introduction of vaccinations in countries where such vaccinations are routinely administered. Read More
PLoS One 2018 11;13(6):e0199036. Epub 2018 Jun 11.
Department of Otolaryngology-Head and Neck Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Objective: Studies have revealed that 3.5%-26.6% of patients with epiglottitis have comorbid diabetes mellitus (DM). Read More
BMJ Case Rep 2018 May 26;2018. Epub 2018 May 26.
Institute of Primary Care, University of Zurich, Zurich, Switzerland.
A 78-year-old female patient presented to our emergency department with a 5-day history of throat pain, hoarseness and a progressive and dolorous submandibular swelling. Due to non-conclusive clinical examination and the stable but visibly affected patient, we performed a neck CT scan with intravenous contrast, which showed the thumbprint sign typical for acute epiglottitis. Within minutes, the patient's condition deteriorated and the patient was close to respiratory exhaustion. Read More
Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018 Jan;32(1):7-11
Department of Otolaryngology, the First Affiliated Hospital of Hebei North University, Zhangjiakou, 075000, China.
To discuss the effects of PM 2.5 and air quality index on the emergency of otolaryngology. Collect in 2015 Beijing tongren hospital emergency department patients with acute otitis media, epistaxis, acute epiglottitis as well as the same time Beijing AQI value and the PM 2. Read More
Emerg Med Australas 2018 08 23;30(4):591-592. Epub 2018 May 23.
School of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
Am Fam Physician 2018 May;97(9):575-580
Naval Hospital Jacksonville, Jacksonville, FL, USA.
Croup is a common respiratory illness affecting 3% of children six months to three years of age. It accounts for 7% of hospitalizations annually for fever and/or acute respiratory illness in children younger than five years. Croup is a manifestation of upper airway obstruction resulting from swelling of the larynx, trachea, and bronchi, leading to inspiratory stridor and a barking cough. Read More
Pediatr Rev 2018 May;39(5):260
Steven and Alexandra Cohen Children's Medical Center, New Hyde Park, NY.
Open Forum Infect Dis 2018 Mar 17;5(3):ofy038. Epub 2018 Feb 17.
Clinical Research Directorate/Clinical Monitoring Research Program, Leidos Biomedical Research, Inc., NCI Campus at Frederick, Frederick, Maryl.
We present a case of acute epiglottitis in a 16-year-old with severe aplastic anemia. He was admitted with a history suggestive of a severe upper airway infection and an absolute neutrophil count of 0 per cubic millimeter. Despite his immunocompromised state, he presented with the classical signs and symptoms of epiglottitis. Read More
J Emerg Med 2018 05 6;54(5):619-629. Epub 2018 Mar 6.
Department of Emergency Medicine, The University of Texas Southwestern Medical Center, Dallas, Texas.
Background: Pharyngitis is a common disease in the emergency department (ED). Despite a relatively low incidence of complications, there are many dangerous conditions that can mimic this disease and are essential for the emergency physician to consider.
Objective: This article provides a review of the evaluation and management of group A β-hemolytic Streptococcal (GABHS) pharyngitis, as well as important medical conditions that can mimic this disease. Read More
BMJ Case Rep 2018 Mar 7;2018. Epub 2018 Mar 7.
Réanimation Médicale, Groupement Hospitalier Edouard Herriot, Lyon, France.
BMJ Case Rep 2018 Mar 5;2018. Epub 2018 Mar 5.
Woman-Mother-Child, Lausanne University Hospital, Lausanne, Switzerland.
Acute epiglottitis is a severe and potentially life-threatening condition. Since the implementation of vaccination, the number of cases of epiglottitis has decreased and the proportion of other infectious causes has increased. We report a case of acute epiglottitis in a teenager caused by , an unusual pathogen. Read More
Medicine (Baltimore) 2018 Feb;97(7):e9941
Department of Forensic Medicine, Tongji Medical College of Huazhong University of Science and Technology, Wuhan.
Rationale: Acute epiglottitis is a potentially life-threaten disease, which makes it more challenging to save the life for doctors. Unexpected deaths in custody are a primary cause of concern for the forensic community and doctor worldwide.
Patient Concerns: We present a case of a 44-year-old male detainee who was clinically suspected of dying of acute epiglottitis. Read More
Arch Pediatr 2017 Dec;24(12S):S9-S16
Groupe de Pathologie Infectieuse Pédiatrique de la Société Française de Pédiatrie, Saint-Maur des Fossés, France; Université Pierre & Marie Curie, Paris 6, France; Service de pédiatrie générale et aval des urgences, Hôpital Armand-Trousseau, Paris, France.
ENT infections are the most common childhood infections and the leading causes of antibiotic prescriptions. These infections are mainly due to viruses and most of them (even if bacterial species are implicated) resolve spontaneously. Therefore, the first message is to not prescribe antibiotics in the following situations: common cold, non-streptococcal pharyngitis, laryngitis, non-purulent otitis media, etc. Read More
Chin Med J (Engl) 2018 Jan;131(1):109-110
Department of Anesthesiology, Pain Medicine and Critical Care Medicine, Aviation General Hospital of China Medical University and Beijing Institute of Translational Medicine, Chinese Academy of Sciences, Beijing 100012, China.
Infect Dis Clin North Am 2018 03 9;32(1):119-128. Epub 2017 Dec 9.
Division of Pediatric Infectious Diseases, Children's Mercy, Kansas City, University of Missouri-Kansas City School of Medicine, 2401 Gillham Road, Kansas City, MO 64108, USA. Electronic address:
Haemophilus influenzae remains a common cause of illness in children throughout the world. Before the introduction of vaccination, H influenzae type b (Hib) disease was the leading cause of bacterial meningitis in young children and a frequent cause of pneumonia, epiglottitis, and septic arthritis. Clinicians should remain diligent in counseling parents on the dangers of Hib and provide vaccination starting at 2 months of age. Read More
Pediatr Emerg Care 2018 Jan;34(1):e11-e13
From the Department of Pediatrics, Division of Pediatric Emergency Medicine, Steven and Alexandra Cohen Children's Medical Center-North Shore Long Island Jewish, New Hyde Park, NY.
Epiglottitis is a rarely encountered infection in pediatrics since the advent of the conjugate Haemophilus influenzae type b vaccine first introduced in the United States in 1985. However, the disease remains a much feared infection in pediatrics. The literature reiterates the importance of early recognition, avoidance of agitating the patient, and the need for securing the airway in the operating room as key and essential features to a good outcome. Read More
Semergen 2018 May - Jun;44(4):283-285. Epub 2017 Nov 20.
Servicio Otorrinolaringología, Hospital de Jarrio, Coaña, Asturias, España.
Arch Pediatr 2017 Dec 16;24(12):1267-1270. Epub 2017 Nov 16.
Service de réanimation et de surveillance continue pédiatrique, hôpital Couple Enfant, CHU de Grenoble Alpes, avenue Maquis-du-Grésivaudan, 38700 La Tronche, France.
Acute epiglottis is a life-threatening disease in relation with the occurrence of an acute upper airway obstruction. Its incidence has fallen dramatically since the widespread introduction of Haemophilus influenzae type b (Hib) conjugate vaccine. We report the case of a 26-month-old child who was not fully immunized and presented acute upper airway respiratory distress with fever. Read More
Braz J Otorhinolaryngol 2017 Oct 5. Epub 2017 Oct 5.
Wakayama Medical University, Department of Otorhinolaryngology-Head and Neck Surgery, Wakayama, Japan. Electronic address:
CMAJ 2017 10;189(41):E1289
Mitoyo General Hospital, Himehama, Toyohama-cho, Kanonji-city, Kagawa, Japan.
A A Pract 2018 Feb;10(4):73-75
From the University of Queensland, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
High-flow nasal oxygen (HFNO) is a potentially life-saving adjunct in the emergency management of the obstructed airway. HFNO has multiple beneficial applications in critical care and respiratory support, but its use in emergency-obstructed airway management has not been defined. This case report describes spontaneous respiration using intravenous anesthesia and high-flow nasal oxygen to successfully manage acute adult epiglottitis with rapidly progressing airway obstruction. Read More
Curr Allergy Asthma Rep 2017 Sep 11;17(10):67. Epub 2017 Sep 11.
Rutgers New Jersey Medical School, The State University of New Jersey, 90 Bergen Street, Newark, NJ, 07103, USA.
Purpose Of Review: Wheezing in infancy is a common presentation with many potential causes. In writing this review, we sought to summarize the newest recommendations and testing available for the more common etiologies of wheezing.
Recent Findings: Regarding the diagnosis of asthma, the modified asthma predictive index has recently been established as a useful predictive tool. Read More
Acta Otolaryngol 2018 Jan 21;138(1):60-65. Epub 2017 Aug 21.
a Department of Otorhinolaryngology, Head and Neck Surgery , Aarhus University Hospital , Aarhus , Denmark.
Introduction: The significant pathogens in acute epiglottitis (AE) are poorly defined in the post Haemophilus influenza type b-vaccine era. Furthermore, there is a lack of clinical evaluations of antibiotic regimens in patients with AE. We aimed to evaluate the effectiveness of empiric intravenous ampicillin in the treatment of patients with AE. Read More
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.
Otolaryngol Head Neck Surg 2017 12 11;157(6):928-939. Epub 2017 Jul 11.
1 Department of Otorhinolaryngology-Head and Neck Surgery, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Objective Laryngeal cysts may occur at any mucosa-lined location within the larynx and account for 5% to 10% of nonmalignant laryngeal lesions. A number of proposed classifications for laryngeal cysts exist; however, no previously published classification aims to guide management. This review analyzes contemporary laryngeal cyst management and proposes a framework for the terminology and management of cystic lesions in the larynx. Read More
BMJ Case Rep 2017 Jun 18;2017. Epub 2017 Jun 18.
Otorhinolaryngology, Head and Neck Surgery, Royal Derby Hospital, Derby, UK.
Supraglottitis is a potentially life-threatening condition. It is now uncommon due to the type B vaccination and is more recently caused by , , non-type B, , and Very rarely, it can cause necrotising supraglottitis/epiglottitis, and this has been reported in immunocompromised individuals. We present a unique case of multipathogenic supraglottitis causing laryngeal fibrinoid necrosis in an immunocompetent patient. Read More
Otolaryngol Head Neck Surg 2017 09 6;157(3):462-465. Epub 2017 Jun 6.
1 University of Connecticut Health Center, Farmington, Connecticut, USA.
Presidents George Washington and Theodore Roosevelt suffered complications of epiglottitis and otomastoiditis, respectively. The introduction of antibiotics and vaccinations against Haemophilus influenzae and Streptococcus pneumoniae has significantly reduced the incidence of these otolaryngologic infections, such that the natural history of the disease is rarely encountered. However, antibiotic resistance and pathogenic evolution has raised concern about increased virulence of these common organisms. Read More
Laryngoscope 2017 09 11;127(9):2106-2112. Epub 2017 May 11.
Department of Otolaryngology-Head and Neck Surgery, Kaplan Medical Center, Rehovot, Israel, affiliated with the Hebrew University of Jerusalem, Israel.
Objectives/hypothesis: Acute supraglottitis is a potentially life-threatening condition due to rapid onset upper airway obstruction. The study aimed to characterize adult acute supraglottitis patients and to recognize factors associated with an aggressive disease course.
Study Design: Retrospective chart review. Read More
J Voice 2018 Jan 4;32(1):101-103. Epub 2017 May 4.
Department of Otolaryngology Head and Neck Surgery and Maxillo-Facial Surgery. Electronic address:
Mucous membranous pemphigoid (MMP) is an autoimmune disease of the mucous membranes characterized by formation of subepithelial blisters. MMP commonly involves the ocular and oral mucosa. Laryngeal MMP is very rare, estimated as occurring in 1 of 10 million persons in the general population. Read More
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