An Atypical Cause of an Epiglottic Abscess

Rabeea, Muneera; H, Ansari; Abdulla, Amal Al

doi:10.1155/2019/9674852

Cited by 4 publications

(16 citation statements)

References 12 publications

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“…1,5 The causative agents are generally bacteria, and Haemophilus influenzae type B is primarily responsible. 5,[8][9][10][11] Other bacteria such as Streptococcus pneumoniae, β-haemolytic streptococci, Staphylococcus aureus and Klebsiella pneumoniae as well as some viral and fungal agents can also cause epiglottitis. 4,12 Although it is typically known as a pediatric disease in children aged between 2-6 years, with the spread of H. influenzae type B vaccine, a decrease in the pediatric incidence of epiglottitis has been observed.…”

Section: Discussionmentioning

confidence: 99%

“…1,6 In addition to anamnesis, laryngoscopy and contrast-enhanced neck computed tomography (CT) are important in diagnosis. 5,7,8 In its treatment, the airway should be secured initially, abscess should be drained then and intravenous (IV) antibiotherapy should be administered. 1,4,7,8 Emergency intubation or tracheotomy may be required in patients with severe symptoms because of obstruction.…”

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confidence: 99%

“…5,7,8 In its treatment, the airway should be secured initially, abscess should be drained then and intravenous (IV) antibiotherapy should be administered. 1,4,7,8 Emergency intubation or tracheotomy may be required in patients with severe symptoms because of obstruction. 9 In this case report, we discuss a case of EA obstructing the upper airways in a geriatric patient, in the light of the literature.…”

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confidence: 99%

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A Rare Surgical Emergency in Geriatric Patient: Epiglottic Abscess

Akın¹,

Tüz²,

Büyükçelik³

et al. 2021

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ABS TRACT Epiglottic abscess is a rare complication of acute epiglottitis that can lead to upper airway obstruction and is fatal if not diagnosed early and treated. Common symptoms include dysphagia, odynophagia, dysphonia, stridor and fever. Fiberoptic laryngoscopy and contrast-enhanced neck computed tomography are the most common methods of diagnosis. In the treatment of this complication, the airway should be secured initially, abscess should be drained then and intravenous antibiotherapy should be administered. In the present study, we discuss our approach to epiglottic abscesses through a geriatric patient who underwent an emergency operation for epiglottic abscess and was treated successfully.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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A Rare Surgical Emergency in Geriatric Patient: Epiglottic Abscess

Akın¹,

Tüz²,

Büyükçelik³

et al. 2021

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“…Adrenaline nebulization was given to 66% of our patients. It is mentioned that adrenaline nebulization helps by decreasing local tissue edema [ 3 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…All of our patients received steroids as adjuvant therapy due to the anti-inflammatory effect coupled with the stabilization of endothelial permeability, thus, decreasing tissue edema [ 17 ]. Recent literature suggests steroids are increasingly used in the treatment of AAS [ 3 , 9 , 13 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

Acute Adult Supraglottitis: An Impending Threat to Patency of Airway and Life

Shaikh

Nawaz

Ahmad

et al. 2020

Cureus

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Introduction Acute adult supraglottitis (AAS) is one of the upper airway infections that can potentially cause upper airway obstruction and, if not treated promptly, can be life-threatening. The widespread use of vaccines against Hemophilus influenzae has decreased the incidence of epiglottitis in children, whereas the incidence of AAS is on the rise. We aim to highlight the presentation, diagnosis, and management in AAS with our study. Patients and Methods A retrospective analysis was performed on all patients admitted to a tertiary health care facility surgical intensive care unit (SICU) where AAS was identified and the demographic data, duration of symptoms, imaging studies, management, and complications were recorded. In these patients, the diagnosis of AAS was confirmed by nasopharyngeal endoscopy. Data was entered in the IBM Statistical Package for Social Sciences (SPSS), version 23 (IBM SPSS Statistics, Armonk, NY), and groups were compared using student t-test and chi-square test. P values of ≤ 0.05 were considered statistically significant. Results A total of 118 patients were admitted to the SICU. The male: female ratio was 3.9: 1. Major risk factors were smoking and drinking cold liquids. The common presenting symptom was sore throat (89.8%). The thumb sign was positive in 65% of the patients. Common bacteria were the Streptococcus species (11.9%). Ceftriaxone was the most commonly prescribed inpatient antibiotic. All patients received steroids as adjuvant therapy. Adrenaline nebulization was used in 66% of the cases. Forty-six percent of patients required endotracheal intubation. In 10.2% of patients, intubation was not possible and in 12.7% of patients, a tracheostomy was done. Ludwig’s angina was the most frequent complication. Patients presenting with dysphagia and fever had a significantly higher incidence of Ludwig’s angina (P ≤ 0.02 and 0.005, respectively). AAS patients complicating into Ludwig’s angina (severe cellulitis of submandibular, submental, and sublingual spaces) had a significantly longer duration of symptoms, a higher incidence of streptococcal infection, airway interventions, and prolonged stay in an intensive care unit (p ≤ 0.05). Conclusion Male gender, smoking, and drinking cold liquids were the risk factors associated with AAS, and thumb sign on lateral neck soft tissue x-ray was suggestive of it. AAS caused by Streptococcus species was a relatively serious condition, leading to complications like Ludwig’s angina.

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Spontaneous epiglottic abscess: pathophysiology and airway management options

Alotaibi

2023

Journal of Surgical Case Reports

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Laryngeal abscesses are rare in the modern antibiotic era. This report presents a novel case of an epiglottic abscess in a patient with diabetes who developed respiratory distress and was managed by awake intubation in the emergency room followed by transoral incision and drainage of the abscess and tracheostomy. Full recovery after 1 week of intravenous antibiotic treatment was observed. Surgical intervention is necessary for treatment and culture-directed antimicrobial therapy. Poorly controlled diabetes is a newly described risk factor for spontaneous epiglottic abscess development.

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An Atypical Cause of an Epiglottic Abscess

Cited by 4 publications

References 12 publications

A Rare Surgical Emergency in Geriatric Patient: Epiglottic Abscess

A Rare Surgical Emergency in Geriatric Patient: Epiglottic Abscess

Acute Adult Supraglottitis: An Impending Threat to Patency of Airway and Life

Spontaneous epiglottic abscess: pathophysiology and airway management options

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