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La epiglotitis aguda en adultos. El análisis de 129 casos
T D Frantz1, B M Rasgon, C P Quesenberry
1Department of Head and Neck Surgery, Kaiser Permanente Medical Center, Oakland, CA 94611-5693.
JAMA
|November 2, 1994
Resumen
La epiglotitis aguda en adultos a menudo se presenta con dolor de garganta y odinofagia. La mayoría de los pacientes se recuperan sin intervención de las vías respiratorias, lo que indica que el tratamiento conservador es efectivo para esta afección.
Área de la Ciencia:
- La otorrinolaringología otorrinolaringología.
- Enfermedades infecciosas Enfermedades infecciosas.
- Medicina de emergencia Medicina de emergencia.
Sus antecedentes:
- La epiglotitis aguda es una obstrucción grave de las vías respiratorias superiores.
- La caracterización de los casos de adultos es crucial para las estrategias de gestión.
Objetivo del estudio:
- Para describir las características clínicas de la epiglotitis aguda en adultos.
- Para identificar los predictores de la intervención de las vías respiratorias.
Principales métodos:
- Una serie de casos retrospectivos de 129 pacientes adultos.
- Confirmación laringoscópica de la epiglotitis aguda.
- Análisis multivariado para identificar los factores de riesgo.
Principales resultados:
- Los síntomas más comunes incluyen dolor de garganta (95%) y odinofagia (94%).
- La intervención de las vías respiratorias fue necesaria en el 15% de los pacientes.
- Stridor y sentarse erguido se asociaron con la intervención de las vías respiratorias.
- Haemophilus influenzae tipo b se identificó en el 12% de los cultivos de sangre positivos.
Conclusiones:
- La epiglotitis aguda en adultos con frecuencia se puede manejar de manera conservadora.
- La condición se asocia con una baja morbilidad y mortalidad.
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