Varicella-Associated Acute Supraglottitis

Nozicka, Charles A.; Naidu, S; McFadden, John

doi:10.1016/s0196-0644(94)70330-2

Cited by 5 publications

(4 citation statements)

References 6 publications

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“…Of note in two cases, no organism was ever isolated and the authors of these reports concluded that this most likely represented a primary varicella epiglottitis because of the presence of vesicles on the epiglottis. 6,7 In the other four cases GABHS was isolated. [2][3][4][5] Although GABHS is present in the throat of 5-10% of healthy children, active infection can be confirmed by streptococcal serology or invasiveness as demonstrated by the positive blood cultures in three out of these four cases.…”

Section: Discussionmentioning

confidence: 92%

“…In all six reports, the diagnosis of epiglottitis was confirmed by direct visualisation. Of note in two cases, no organism was ever isolated and the authors of these reports concluded that this most likely represented a primary varicella epiglottitis because of the presence of vesicles on the epiglottis 6,7 . In the other four cases GABHS was isolated 2–5 .…”

Section: Discussionmentioning

confidence: 93%

“…10 years, F + GABHS blood and epiglottis No No Vugia et al 4 4 years, F + GABHS trachea No No Priebe and Nizet 5 5 years, F + GABHS blood and epiglottis No No Nozicka et al 6 7 years, F Negative No No Narasimhan et al 7 2 years, F Negative No No…”

mentioning

confidence: 99%

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Varicella with stridor: Think group A streptococcal epiglottitis

Sivakumar

Latifi

2008

J Paediatrics Child Health

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 93%

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Varicella with stridor: Think group A streptococcal epiglottitis

Sivakumar

Latifi

2008

J Paediatrics Child Health

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“…Children are now affected much less than adults, due to the UK immunisation policy offering all babies the combined diphtheria, pertussis and Hib vaccination during the first four months of life 6 . Although bacterial infections have been implicated in this condition, 7 other causes include trauma, 8 viruses, 9 chemicals, 10 recreational drugs 11 and chemotherapy 12 …”

Section: Discussionmentioning

confidence: 99%

A new era in supraglottitis? An isolated UK case of supraglottitis secondary toNeisseria meningitidis

Sarwar

Akhtar²,

Hemming³

et al. 2011

J. Laryngol. Otol.

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Supraglottitis occurs in <4 per 100 000 population. Following a successful UK childhood immunisation programme, most cases occur in adults. Supraglottitis secondary to N meningitidis is exceptionally rare, with only seven other reported cases worldwide. Morbidity is exceptionally high; over 60 per cent of patients require airway intervention. To our knowledge, this is the first reported UK case of supraglottitis secondary to N meningitidis. This case highlights the important clinical, diagnostic and therapeutic interventions required to prevent complications associated with this potentially fatal condition.

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Bacterial Complications of Primary Varicella in Children

Aebi

Ahmed

Ramilo

1996

Clinical Infectious Diseases

107

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Bacterial complications of varicella in 84 patients younger than 16 years of age (48 females; median age, 2.9 years) who required hospitalization between 1985 and 1995 were retrospectively analyzed. The purpose of the study was to describe demographics, clinical manifestations, bacteriology, and factors affecting outcome. Seventy-six percent of patients were younger than 5 years of age. The eldest children in households were significantly underrepresented (P = .00025). Skin infections occurred in 61 patients (73%), and deep-seated infections and/or shock occurred in 23 (27%). The latter complications were significantly associated with thrombocytopenia (P = .011) and bacteremia (P = .014) at the time of admission, prolonged fever (P = .001), prolonged hospitalization (P < .0001), intensive care management (P < .0001), and fatal outcome (P = .019). Group A beta-hemolytic streptococcus (59% of isolates) and Staphylococcus aureus (28%) were the predominant isolates. Before and after 1990, five (31%) of 16 and 13 (62%) of 21 streptococcal complications, respectively, were invasive infections (P = .09). These data underscore the need for universal immunization against chickenpox.

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Varicella-Associated Acute Supraglottitis

Cited by 5 publications

References 6 publications

Varicella with stridor: Think group A streptococcal epiglottitis

Varicella with stridor: Think group A streptococcal epiglottitis

A new era in supraglottitis? An isolated UK case of supraglottitis secondary toNeisseria meningitidis

Bacterial Complications of Primary Varicella in Children

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