COVID-19 infection presenting with acute epiglottitis

Fondaw, Alexander; Arshad, Muzamil; Batool, Saba; Robinson, Brenton; Patel, Toral

doi:10.1093/jscr/rjaa280

Cited by 23 publications

(27 citation statements)

References 3 publications

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“… 5 Fondaw et al reported a case of COVID-19 presenting with upper airway obstruction due to acute epiglottitis requiring emergency surgical cricothyroidotomy. 6 Our case could have been a varied presentation of COVID-19. Considering that this occurred in beginning of the COVID-19 pandemic, there arises a suspicion whether SARS-CoV-2 could have caused this.…”

Section: Discussionmentioning

confidence: 84%

Acute upper airway obstruction due to tonsillitis necessitating emergency cricothyroidotomy

2021

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A 17-year-old man was admitted to Accident & Emergency out of hours with unilateral tonsillar enlargement covering more than 75% of his oropharyngeal inlet. He appeared calm and stable on initial presentation, but in a short span of time rapidly deteriorated, leading to near complete airway obstruction necessitating an emergency awake cricothyroidotomy. Tracheostomy and tonsillectomy were done after this, he was ventilated postoperatively in intensive therapy unit and discharged home in a week. This is a rare clinical scenario in a patient presenting with palatine tonsillitis. A few subtle points in the history and examination alerted the team and prevented a risky inter hospital transfer for ear, nose and throat review. This is the first reported case in UK of palatine tonsillitis not due to infectious mononucleosis presenting with acute upper airway obstruction in a patient with no airway anomalies. It may also have been a varied presentation of COVID-19.

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Section: Discussionmentioning

confidence: 84%

Acute upper airway obstruction due to tonsillitis necessitating emergency cricothyroidotomy

2021

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“…Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a rapidly progressing respiratory disease that also affects the upper aerodigestive tract via angiotensin-converting enzyme 2 or transmembrane protease/serine subfamily member 2 receptors [ 1 , 2 ], causing a sore throat and odynophagia. There are reports of COVID-19-induced acute laryngitis requiring emergency treatment, indicated by acute epiglottitis in adults and croup in infancy [3] , [4] , [5] , [6] , [7] , [8] , [9] . Frequently, this requires urgent airway management, which generates aerosols and increases the risk of spreading the infection.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 presenting as acute epiglottitis: A case report and literature review

Iwamoto¹,

Satõ²,

Hoshi

et al. 2023

Auris Nasus Larynx

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Coronavirus disease 2019 (COVID-19) occasionally causes acute laryngitis, requiring emergency treatment. Understanding the characteristic laryngeal findings can help diagnose COVID-19 earlier, prevent worsening infection, and properly manage airway obstruction. Herein, we report the case of a 44-year-old male with acute epiglottitis likely caused by COVID-19. On presentation, chest computed tomography (CT) showed no signs of pneumonia. However, the larynx had extensive necrotic-like erosive lesions resembling those of tuberculous laryngitis. COVID-19 was diagnosed by reverse-transcription polymerase chain reaction, and secondary bacterial superinfections were suspected after blood testing. The symptoms improved after administration of antibiotics (sulbactam sodium/ampicillin sodium), steroids (dexamethasone), and favipiravir. The patient developed a high fever on the sixth day of hospitalization, and pneumonia was identified on CT. Various culture tests, including tuberculosis, were negative. Thus, remdesivir was administered for COVID-19-induced pneumonia. The patient gradually recovered, was transferred to another hospital, and was discharged on the 35th day of hospitalization. Six previous case reports of COVID-19-induced acute epiglottitis suggested that acute epiglottitis preceded the onset of pneumonia. The laryngeal findings from this report may be useful for diagnosing COVID-19 that does not cause pneumonia and for bringing attention to pneumonia after a COVID-19 diagnosis.

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“…Cases of acute epiglottitis associated with COVID-19 are exceedingly rare – to our knowledge, there have been two cases reported in the literature, described by Fondaw et Al. in September 2020 [ 2 ], and by Alqaisi et Al. in January 2021 [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Acute epiglottitis in a COVID-19 positive patient

Cordial

Neuenschwander

2022

The American Journal of Emergency Medicine

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There have been more than 178 million global cases of COVID-19, the disease caused by the SARS-CoV-2 virus, with more than 3.8 million deaths worldwide [1]. COVID-19 can present with a wide variety of symptoms, and one rare manifestation that has been reported in the literature is acute epiglottitis. To date, there have been two reported cases of acute epiglottitis in COVID-19 positive patients [2, 3]. We present a case of a 49-year-old male presenting to a community emergency department with the chief complaint of dysphagia and sore throat, confirmed as acute epiglottitis, in the presence of a positive rapid COVID-19 PCR test.

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COVID-19 infection presenting with acute epiglottitis

Cited by 23 publications

References 3 publications

Acute upper airway obstruction due to tonsillitis necessitating emergency cricothyroidotomy

Acute upper airway obstruction due to tonsillitis necessitating emergency cricothyroidotomy

COVID-19 presenting as acute epiglottitis: A case report and literature review

Acute epiglottitis in a COVID-19 positive patient

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