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[Epiglottitis: a children's disease seen in adults]

C de Saint Aulaire1, S F Meinesz, H P Verschuur

  • 1Medisch Centrum Haaglanden (Westeinde), afd. Keel-, Neus- en Oorheelkunde, Postbus 432, 2501 CK Den Haag.

Nederlands Tijdschrift Voor Geneeskunde
|March 7, 2008
PubMed

Two women, aged 58 and 62, developed epiglottitis with acute symptoms of sore throat, respiratory distress, fever, and stridor on inhalation. Both developed an upper respiratory tract obstruction requiring acute intubation to secure an open airway. The symptoms disappeared after administration of intravenous antibiotics and corticosteroids. Both women were discharged without any residual signs of infection. The incidence of epiglottitis in adults is most likely rising. The illness used to be seen almost only in children. A clear explanation for this rise in incidence cannot be given. It is important that the clinical picture be recognized in an early stage by referring doctors; they must be aware of the danger of a quickly developing airway obstruction. Monitoring of the patient during treatment by an otorhinolaryngologist is highly important to safeguard an adequate airway.

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