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Acute epiglottitis in adults: a recent experience with 10 cases
M A Hafidh1, P Sheahan, I Keogh
1Department of Otolaryngology, Head and Neck Surgery, Beaumont Hospital, Dublin, Ireland.
The Journal of Laryngology and Otology
|April 21, 2006
Summary
Adult acute epiglottitis is increasingly common, requiring otolaryngologist vigilance. Selective airway intervention is crucial for patients with over 50% airway obstruction.
Area of Science:
- Otolaryngology
- Emergency Medicine
- Infectious Diseases
Background:
- Acute epiglottitis, a serious upper airway infection, can affect adults.
- The incidence in adults has been noted to be rising.
- Prompt diagnosis and management are critical for patient outcomes.
Purpose of the Study:
- To analyze the clinical presentation, course, and management strategies for acute epiglottitis in adult patients.
- To highlight recent trends and challenges in adult epiglottitis care.
Main Methods:
- Retrospective study of consecutive adult patients diagnosed with acute epiglottitis or supraglottitis.
- Diagnosis confirmed via flexible nasolaryngoscopy.
- Data collected on clinical course, management, and outcomes.
Main Results:
- Ten adult patients were included in the study.
- Two patients had concurrent acute tonsillitis, and one had a peritonsillar abscess.
- Two patients required intubation due to airway obstruction; common antibiotic regimen was cefotaxime and metronidazole.
Conclusions:
- The increasing incidence of adult acute epiglottitis necessitates heightened awareness among otolaryngologists.
- Selective airway intervention is recommended for cases with significant airway obstruction (over 50%).