Acute Supraglottitis in Adults

Riffat, Faruque; Jefferson, Niall; Bari, Noor; McGuinness, John

doi:10.1177/000348941112000503

Cited by 23 publications

(25 citation statements)

References 15 publications

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“…Sore throat, dysphagia, and change in voice are the common findings in the adults while the children usually present with the cardinal signs of airway obstruction as stridor, drooling, and dyspnea. [4]…”

Section: Discussionmentioning

confidence: 99%

Do the clinical parameters provide the reliable indication of airway findings in adult patients with acute supraglottitis?

Shafiq

Sładkowski

2012

J Anaesthesiol Clin Pharmacol

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Airway management of adult patients with acute supraglottitis is challenging. The sign and symptoms of the disease may show marked variation in terms of severity and progression. Thorough evaluation is required before selecting any particular approach. We report the case of an adult patient with acute supraglottitis, in whom active airway intervention was planned. The clinical predictors were not suggestive of any airway compromise in our patient. However, the disease was found to have an unanticipated rapidly progressive course leading to the significant edema of the oropharynx and the surrounding structures as evidenced by the laryngoscope and computerized tomography scan findings.

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Section: Discussionmentioning

confidence: 99%

Do the clinical parameters provide the reliable indication of airway findings in adult patients with acute supraglottitis?

Shafiq

Sładkowski

2012

J Anaesthesiol Clin Pharmacol

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“…16 Visualization of the vocal cords should be obtained in a controlled setting, using awake intubation to allow for spontaneous ventilation during intubation attempts. 17 Paralysis may worsen obstruction. Fiberoptic or videolaryngoscopy should be considered.…”

Section: Case Reportsmentioning

confidence: 99%

“…Fiberoptic or videolaryngoscopy should be considered. 2,16,17 The physician must be quick to recognize futile attempts at supraglottic intubations and perform cricothyrotomy in an expedited fashion. 2 These cases reveal the importance of timely diagnosis and intervention in epiglottitis to prevent severe morbidity and mortality.…”

Section: Case Reportsmentioning

confidence: 99%

Adult Epiglottitis: A Case Series

Lindquist

Zachariah

Kulkarni³

2017

TPJ

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Introduction: Emergency Departments are inundated by patients with respiratory illness during the winter months. Emergency physicians are required to quickly identify critically ill patients among the large volume of patients with mild upper respiratory illness. Among these life-threatening conditions is acute epiglottitis. Case Presentation: We report a rare series of four adult patients who presented to our Emergency Department during a period of only one week in April 2015 and were ultimately diagnosed with acute epiglottitis. Three of the patients improved with conservative measures and were observed in the intensive care unit. One patient required an emergent tracheostomy. Discussion: This series of patients is unique in that all four patients presented to a single Emergency Department within a few days of each other and, despite a myriad of presenting chief complaints, the patients were eventually found to have the same potentially life-threatening diagnosis. These cases reinforce the variability of presenting symptoms and physical examination findings that can occur in patients with epiglottitis. They also highlight clinical findings and adjunctive testing that can help identify patients who would most benefit from intervention.

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“…Acute supraglottitis, defined as inflammation of the epiglottis with or without adjacent supraglottic structures, is a potentially life-threatening condition that requires prompt and accurate assessment and management of the airway. 1 Airway narrowing may reach its peak within a few hours of symptom onset and lead to upper airway obstruction. Epiglottitis was previously a more common pediatric emergency, but the advent of the Haemophilus influenzae serotype b vaccine has caused a marked reduction in its rate in children.…”

Section: Introductionmentioning

confidence: 99%

“…Acute supraglottitis, defined as inflammation of the epiglottis with or without adjacent supraglottic structures, is a potentially life‐threatening condition that requires prompt and accurate assessment and management of the airway . Airway narrowing may reach its peak within a few hours of symptom onset and lead to upper airway obstruction.…”

Section: Introductionmentioning

confidence: 99%

Supraglottitis due to group Bstreptococcus in an adult with IgG4 and C2 deficiency: A case report and review of the literature

et al. 2014

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Acute supraglottitis is a medical emergency as it can rapidly lead to airway compromise. With routine pediatric immunization for Hemophilus influenzae serotype b, supraglottitis is now more prevalent in adults, with a shift in the causative organisms and a change in the natural history of this disease. Here, we present a case of supraglottitis due to group B streptococcus that occurred in an adult with previously undetected immunoglobulin 4 (IgG4) and complement protein C2 deficiency.

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Acute Supraglottitis in Adults

Cited by 23 publications

References 15 publications

Do the clinical parameters provide the reliable indication of airway findings in adult patients with acute supraglottitis?

Do the clinical parameters provide the reliable indication of airway findings in adult patients with acute supraglottitis?

Adult Epiglottitis: A Case Series

Supraglottitis due to group Bstreptococcus in an adult with IgG4 and C2 deficiency: A case report and review of the literature

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