Acute epiglottitis in adults

Kander, P. L.; Richards, S H

doi:10.1017/s0022215100083705

Cited by 33 publications

(5 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Stridor was not a common feature in our series and this has been the experience of others (Kander and Richards, 1977;Ossoff et al, 1980). Only two of our patients needed an artificial airway on initial presentation and none of our patients developed stridor after admission.…”

Section: Discussionsupporting

confidence: 71%

Acute epiglottitis in adults

Stanley¹,

Liang²

1988

J. Laryngol. Otol.

View full text Add to dashboard Cite

Acute epiglottitis in adults is a potentially fatal but self-limiting disease of increasing incidence world-wide. Forty-two patients, seen consecutively over a four year period at the ENT Department, Singapore General Hospital were reviewed retrospectively. A strong male predominance with a peak age incidence in the sixth decade was noted. A severe sore throat and dysphagia with disproportionate signs of oropharyngeal inflammation was the main presenting picture. Only three patients had stridor on presentation. Vigilant monitoring of the airway with empirical high-dose intravenous ampicillin, cloxacillin and steroids resulted in a dramatic clinical improvement in most patients and none developed stridor after admission. The yield from throat swabs and blood cultures were low. Two patients developed complications, a Ludwigs angina and an epiglottic abscess. Recurrent epiglottitis was a problem in one patient. There was low morbidity and no mortality on the management regime outlined.

show abstract

Section: Discussionsupporting

confidence: 71%

Acute epiglottitis in adults

Stanley¹,

Liang²

1988

J. Laryngol. Otol.

View full text Add to dashboard Cite

show abstract

“…With relatively small numbers of patients it is difficult to generalize about this serious disease. Kander and Richards (1977), in a series of nine patients, showed a male preponderance of sevento-two, borne out by other reports (Johnstone and Lawy, 1967). The age range of patients in that series was broad but most were in their fifties.…”

Section: Discussionmentioning

confidence: 57%

“…Previous studies have suggested that, while Haemophilus influenzae Type b was the commonest organism in adults as in children, a higher proportion of cases in adults were due to other organisms (Gorfinkel etal., 1969, Johnstone and Lawy, 1967). Kander and Richards (1977) suggest that epiglottitis due to organisms other than Haemophilus influenzae generally shows less severe local inflammation. However, some cases are marred by inadequate bacteriological investigations.…”

Section: Discussionmentioning

confidence: 99%

Acute epiglottitis in adults not due to haemophilus

Russell¹,

Gresham²,

Wight³

1985

J. Laryngol. Otol.

View full text Add to dashboard Cite

“…have stressed that epiglottitis in adults is not rare. Kander and Richards 4 have reported nine cases in adults during a ten-year period. and Ossoff and associates 5 have reported treating 15 adults with acute epiglottitis during a 15-month period.…”

mentioning

confidence: 98%

Epiglottitis in the adult

Cohen¹

1984

Postgraduate Medicine

View full text Add to dashboard Cite

Acute epiglottitis in adults is probably commoner than is generally appreciated. Although upper airway obstruction can occur, the course most often is benign. Acute epiglottitis should be suspected in all patients with a sore throat and dysphagia, especially if symptoms are out of proportion to pharyngeal findings. Diagnosis can be established by mirror or flexible fiberoptic laryngoscopy, lateral radiography of the neck, or both. Treatment consists of maintenance of a patent airway and use of humidified oxygen and antibiotics (ampicillin and chloramphenicol [Chloromycetin] ). The role of corticosteroids in treatment of epiglottitis is still controversial.

show abstract

Acute epiglottitis in adults

Cited by 33 publications

References 13 publications

Acute epiglottitis in adults

Acute epiglottitis in adults

Acute epiglottitis in adults not due to haemophilus

Epiglottitis in the adult

Contact Info

Product

Resources

About