Necrotizing epiglottitis treated with early surgical debridement: A case report
Clare Richardson1, Prashanth Thalanayar Muthukrishnan2, Chelsea Hamill1
1Department of Otolaryngology - Head and Neck Surgery, University Hospitals Cleveland Medical Center - Case Western Reserve University, 11100 Euclid Ave, Cleveland, OH 44106, United States of America.
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.
Results:
Our patient rapidly recovered with no further invasive interventions. On follow up she had no further complications or functional deficits.
Conclusions:
Although uncommon, providers should be aware of the potential benefits of early debridement when treating patients with similar pathology. Early surgical intervention should be considered to avoid local tissue loss, airway interventions, and long-term sequelae.
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