Epiglottitis in AIDS patients

Rothstein, Stephen G.; Persky, Mark S.; Edelman, B.; Gittleman, Paul E.; Stroschein, Mariel

doi:10.1288/00005537-198904000-00005

Cited by 25 publications

(6 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Significant disease involving the larynx and trachea, although rare, has also been described (Imoto, et al, 1990;Marelli, Biddinger, & Gluckman, 1992;Siegle et al, 1992;Small, McPhaul, Sooy, Wofsy, & Jacobson, 1989). Acute bacterial epiglottitis has been reported in HIV-infected patients (Rothstein, Persky, Edelman, Gittleman, & Stroschein, 1989). The presentation is similar to that of the general population with rapid progression of odynophagia, dysphagia, drooling, and respiratory distress.…”

Section: Oral Pharyngeal and Laryngeal Manifestationsmentioning

confidence: 95%

Otolaryngological Manifestations of HIV/AIDS

Gold¹,

Tami²

1998

Semin Hear

View full text Add to dashboard Cite

Section: Oral Pharyngeal and Laryngeal Manifestationsmentioning

confidence: 95%

Otolaryngological Manifestations of HIV/AIDS

Gold¹,

Tami²

1998

Semin Hear

View full text Add to dashboard Cite

“…Causes of epiglottitis in HIV-infected patients have included Streptococcus pneumoniae, Staphylococcus aureus and the viridans streptococci (Rothstein et al, 1989). We have reported a patient with Haemophilus influenzae epiglottitis which is the commonest identifiable cause of bacterial epiglottitis in adults (Deeb et al, 1985).…”

Section: Discussionmentioning

confidence: 97%

“…It is therefore possible that HIV infection was coincidental to epiglottitis in the first patient. Previous (Rothstein et al, 1989). Opportunistic infections become more common as host immunity declines and it is known that oropharyngeal candidiasis is more likely when the CD4 lymphocyte count is below 200 cells/mm 3 (Feigal et al, 1991).…”

Section: Discussionmentioning

confidence: 99%

Stridor in patients with HIV infection

et al. 1995

View full text Add to dashboard Cite

The immunodeficiency which results from HIV infection is associated with a range of opportunistic infections and tumours which may present with the symptoms of upper airways disease. This paper presents three cases of stridor from different causes in patients with HIV infection, all of whom recovered following treatment. The management of this problem requires consideration of the likely aetiology which, in those with advanced immunodeficiency, includes bacterial and fungal laryngitis and epiglottitis as well as rapidly growing laryngeal tumours. Recommendations for the treatment of those with HIV infection who present with severe or rapidonset stridor should include a combination of aggressive airway intervention and broad-spectrum antibacterial and antifungal agents. Laryngeal biopsy for histology and culture is particularly important for those patients who fail to respond to the aforementioned treatment.

show abstract

“…In cases where there is abscess formation, surgical debridement may also be necessary. Isolated necrosis of the epiglottis also can occur [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Acute Epiglottitis in the Immunocompromised Host: Case Report and Review of the Literature

Chen

Natarajan

Bianchi

et al. 2018

Open Forum Infectious Diseases

View full text Add to dashboard Cite

We present a case of acute epiglottitis in a 16-year-old with severe aplastic anemia. He was admitted with a history suggestive of a severe upper airway infection and an absolute neutrophil count of 0 per cubic millimeter. Despite his immunocompromised state, he presented with the classical signs and symptoms of epiglottitis. We review here the presentation and comorbidities of immunocompromised patients with epiglottitis. In addition, the appropriate choice of empirical antibiotic therapy is important for the management of epiglottitis in immunocompromised patients, especially in the post–Haemophilus influenza type B vaccination era. In our patient, Enterobacter cloacae was isolated from endoscopically directed throat cultures, and treatment was successful without the need for intubation. The current literature suggests that in immunocompromised patients, particularly those who are neutropenic, there is a potentially wide range of organisms, both bacterial and fungal, that may play a role in the pathology of acute epiglottitis.

show abstract

Epiglottitis in AIDS patients

Cited by 25 publications

References 14 publications

Otolaryngological Manifestations of HIV/AIDS

Otolaryngological Manifestations of HIV/AIDS

Stridor in patients with HIV infection

Acute Epiglottitis in the Immunocompromised Host: Case Report and Review of the Literature

Contact Info

Product

Resources

About