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The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation
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Traumatic epiglottitis after foreign body ingestion.

Katherine R Kavanagh1, James S Batti

  • 1University of Connecticut Health Center, 263 Farmington Avenue, Farmington, CT 06030, United States. kkavanagh@resident.uchc.edu

International Journal of Pediatric Otorhinolaryngology
|April 2, 2008
PubMed
Summary

Epiglottitis, a serious throat swelling, can be caused by foreign objects. This case highlights a rare instance of epiglottitis in a toddler after swallowing and expelling a bottle cap.

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Published on: January 17, 2011

Area of Science:

  • Pediatrics
  • Emergency Medicine
  • Otolaryngology

Background:

  • Epiglottitis is a critical medical emergency with infectious and non-infectious causes.
  • Non-infectious etiologies include thermal injury, caustic ingestion, and foreign body ingestion.
  • Foreign body-induced epiglottitis is occasionally linked to retrieval attempts.

Observation:

  • A 15-month-old boy presented with epiglottitis.
  • The child had ingested a bottle cap, which was spontaneously expelled.
  • This sequence of events led to the development of epiglottitis.

Findings:

  • The case demonstrates epiglottitis occurring after the ingestion and subsequent spontaneous expulsion of a foreign body (bottle cap).
  • This contrasts with previously reported cases where epiglottitis resulted from attempts to retrieve foreign bodies.

Implications:

  • This case expands the understanding of foreign body ingestion as a cause of epiglottitis.
  • It underscores the importance of considering foreign body ingestion even after spontaneous expulsion.
  • Highlights the need for vigilance in pediatric emergency medicine regarding unusual presentations of epiglottitis.