MENINGOCOCCAL EPIGLOTTITIS IN A DIABETIC ADULT PATIENT: A CASE REPORT

被引：7

作者：

Richardson, Derek Kuhl ^{[1
,2
]}

Helderman, Trina ^{[2
]}

Lovett, Paris ^{[2
]}

机构：

[1] New York Presbyterian Weill Cornell Med Ctr, Dept Emergency Med, New York, NY 10065 USA

[2] New York Presbyterian Columbia Univ Med Ctr, Dept Emergency Med, New York, NY USA

来源：

JOURNAL OF EMERGENCY MEDICINE | 2012年 / 43卷 / 04期

关键词：

epiglottitis; epidemiology; Neisseria meningitidis; microbiology; otolaryngology; NEISSERIA-MENINGITIDIS; SUPRAGLOTTITIS; CROUP;

D O I：

10.1016/j.jemermed.2010.05.025

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background: After deployment of the Haemophilus influenzae vaccination, the range of pathogens causing acute epiglottitis has changed, as has the epidemiology from a primarily pediatric syndrome towards more frequent adult onset. Objectives: We present a case of acute-onset meningococcal epiglottitis in an adult patient, to our knowledge one of a few reported cases in the medical literature. We review the historic changes and outcomes of similar episodes. Case Report: A 37-year-old diabetic man presented to our Emergency Department in acute respiratory distress. Examination revealed epiglottitis; his airway subsequently closed rapidly and was secured by surgical cricothyroidotomy; blood cultures showed the primary pathogen to be Neisseria meningitidis type C. Conclusion: Neisseria meningitidis has been found to be an emerging cause of acute epiglottitis in adult patients over the last decade, possibly having worsened outcomes compared to other etiologies. (C) 2012 Elsevier Inc.

引用

页码：634 / 636

页数：3

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