Acute Adult Supraglottitis: Current Management and Treatment

被引:24
作者
Al-Qudah, Mohannad [1 ]
Shetty, S.
Alomari, M.
Alqdah, Maen
机构
[1] Jordan Univ Sci & Technol, Dept Special Surg, Div ORL HNS, Irbid 22110, Jordan
关键词
airway obstruction; epiglottitis; haemophilus influenzae; intubation; flexible laryngoscopy; ACUTE EPIGLOTTITIS; HOSPITAL EXPERIENCE; 12-YEAR EXPERIENCE;
D O I
10.1097/SMJ.0b013e3181e538d8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acute adult supraglottitis can be a serious, life-threatening disease because of its potential for sudden upper airway obstruction. Symptoms and signs of this disease may be nonspecific and may resemble those of upper respiratory tract infection. Unexplained sore throat with tenderness of the anterior neck over the hyoid bone warrant careful examination by flexible laryngoscopy to rule out laryngeal congestion and edema. Laboratory tests are usually not helpful in picking up the diagnosis. Following diagnosis, patients should be hospitalized, started on intravenous antibiotics and their airway closely monitored, as airway obstruction may develop.
引用
收藏
页码:800 / 804
页数:5
相关论文
共 33 条
[1]   Adult epiglottitis: an under-recognized, life-threatening condition [J].
Ames, WA ;
Ward, VMM ;
Tranter, RMD ;
Street, M .
BRITISH JOURNAL OF ANAESTHESIA, 2000, 85 (05) :795-797
[2]   ACUTE EPIGLOTTITIS IN ADULTS [J].
BAXTER, FJ ;
DUNN, GL .
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1988, 35 (04) :428-435
[3]   The rising incidence of adult acute epiglottitis and epiglottic abscess [J].
Berger, G ;
Landau, T ;
Berger, S ;
Finkelstein, Y ;
Bernheim, J ;
Ophir, D .
AMERICAN JOURNAL OF OTOLARYNGOLOGY, 2003, 24 (06) :374-383
[4]   Epiglottitis in adults [J].
Carey, MJ .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 1996, 14 (04) :421-424
[5]   ACUTE EPIGLOTTITIS IN THE ADULT - IS INTUBATION MANDATORY [J].
CROSBY, E ;
REID, D .
CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 1991, 38 (07) :914-918
[6]   The dramatic change in the epidemiology of pediatric epiglottitis [J].
Faden, H .
PEDIATRIC EMERGENCY CARE, 2006, 22 (06) :443-444
[7]   ACUTE EPIGLOTTITIS IN ADULTS - ANALYSIS OF 129 CASES [J].
FRANTZ, TD ;
RASGON, BM ;
QUESENBERRY, CP .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 272 (17) :1358-1360
[8]   ACUTE EPIGLOTTITIS - CHANGING EPIDEMIOLOGIC PATTERNS [J].
FRANTZ, TD ;
RASGON, BM .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1993, 109 (03) :457-460
[9]   Recurrent acute epiglottitis in adults:: defective antibody response [J].
Gagnon, R ;
Bédard, PM ;
Côté, L ;
Lavoie, A ;
Hébert, J .
ANNALS OF ALLERGY ASTHMA & IMMUNOLOGY, 2002, 88 (05) :513-517
[10]  
Gilbert Andrew, 2004, Ear Nose Throat J, V83, P154