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Adult epiglottitis.

P B Fontanarosa1, S S Polsky, G E Goldman

  • 1Akron City Hospital, Northeastern Ohio Universities College of Medicine.

The Journal of Emergency Medicine
|May 1, 1989
PubMed
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This summary is machine-generated.

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Adult epiglottitis, or supraglottitis, often presents mildly. Most adult cases improve with medical treatment, rarely requiring intubation, suggesting a less severe course than previously thought.

Area of Science:

  • Otolaryngology
  • Infectious Diseases

Background:

  • Adult epiglottitis (supraglottitis) is increasingly recognized.
  • Historically, it was considered a fulminant condition.
  • Recent data suggest a potentially milder clinical course.

Purpose of the Study:

  • To characterize the clinical presentation and course of adult epiglottitis.
  • To evaluate the severity and management outcomes in adult epiglottitis patients.

Main Methods:

  • Retrospective analysis of 28 adult epiglottitis cases.
  • Diagnosis confirmed via laryngoscopy and/or lateral cervical radiography.
  • Review of clinical features, management, and outcomes.

Main Results:

  • Most patients had a benign clinical course.

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  • Medical management (IV antibiotics, hydration, mist, corticosteroids) was effective.
  • Only 7% required orotracheal intubation; no respiratory arrest, obstruction, tracheostomies, or deaths occurred.

    • Conclusions:

    • Adult epiglottitis can follow a less severe course than classically described.
    • Prompt medical management is often sufficient for recovery.
    • The absence of Hemophilus influenza may correlate with a milder presentation.