The rising incidence of adult acute epiglottitis and epiglottic abscess

Berger, Gilead; Landau, Tali; Berger, Sivan; Finkelstein, Yehuda; Bernheim, Joëlle; Ophir, Dov

doi:10.1016/s0196-0709(03)00083-8

Cited by 147 publications

(180 citation statements)

References 31 publications

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“…Epiglottic abscess may also occur after radiotherapy for laryngeal cancer [4]. Anatomically, the lingual surface of the epiglottis is commonly involved [1]. In the present study, the patient in case 1 had a cystic dilation of the lingual surface of the epiglottis and there was a visible yellowcolored abscess along the aryepiglottic fold in case 2.…”

Section: Discussionsupporting

confidence: 45%

“…The annual incidence of adult epiglottitis per 100,000 residents has ranged between 0.88 and 3.10 and is increasing. The individuals affected tend to be predominantly men [1,3]. The major cause of epiglottitis is a primary infection due to Haemophilus influenzae type B or Streptococcus spp.…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of abscess is two-fold higher among those who need airway intervention [1]. The progression and manifestation of symptoms of acute epiglottitis in adults is slower than that in children because the adult respiratory tract has a wider diameter [4,5].…”

Section: Discussionmentioning

confidence: 99%

“…In many cases of adult epiglottitis, the patients have comorbid diseases such as diabetes, hypertension, alcoholism, hepatitis, and malignancy [1,6,7]. The patient in case 2 received medication for hypertension for a long time.…”

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Sudden Death from Acute Epiglottitis and Epiglottic Abscess in Adult

Noh

2015

Korean J Leg Med

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Section: Discussionsupporting

confidence: 45%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Sudden Death from Acute Epiglottitis and Epiglottic Abscess in Adult

Noh

2015

Korean J Leg Med

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“…[1][2][3] During a single 5-month period, we encountered 3 cases of the disease in our physician's office. Physical examination revealed tenderness of the middle anterior neck, especially over the hyoid bone, in all patients.…”

mentioning

confidence: 99%

Tenderness Over the Hyoid Bone Can Indicate Epiglottitis in Adults

Ehara¹

2006

The Journal of the American Board of Family Medicine

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Adult acute epiglottitis is a rare but life-threatening disease caused by obstruction of the airway. The symptoms and signs of this disease may be nonspecific without apparent airway compromise. We encountered 3 consecutive cases of adult patients with this disease in a single 5-month period in one physician's office. In all cases, physical examination revealed tenderness of the anterior neck over the hyoid bone. These observations assisted us in identifying this rare disease quickly. We suggest that tenderness over the hyoid bone should raise suspicion of adult acute epiglottitis. Adult acute epiglottitis is an inflammatory disease of the epiglottis and adjacent structures resulting from infection. It can be a rapidly fatal condition because of the potential for sudden upper airway obstruction. Early recognition of acute epiglottitis is therefore of the utmost importance in minimizing morbidity and mortality.Unfortunately, misdiagnosis occurs in 23% to 31% of the cases of adult acute epiglottitis.1-3 During a single 5-month period, we encountered 3 cases of the disease in our physician's office. Physical examination revealed tenderness of the middle anterior neck, especially over the hyoid bone, in all patients. This sign enabled us to diagnose this uncommon disease quickly. All the patients steadily improved without the need for interventional airway support. Here we propose that tenderness over the hyoid bone should be considered a major sign in the diagnosis of adult acute epiglottitis. Case ReportsCase 1 A 55-year-old woman presented to the Ehara Clinic in July 2004 complaining of a severe sore throat that had begun the previous day, and with a fever of 37.5°C. She complained of dysphagia and odynophagia. She experienced a loss of vocal power, and talking aggravated her sore throat. At admission, the patient did not seem to be critically ill. Her voice was neither muffled nor hoarse. The vital signs indicating the nature of her condition were as follows: body temperature, 37.0°C (axillary); blood pressure, 90/64 mm Hg; pulse, 64/min; respirations, 24/min; peripheral oxygen saturation, 97%. At this point, these findings were not sufficient to indicate any serious diseases. The pharynx was slightly erythematous. Dyspnea, stridor, and drooling were not found. The bilateral upper cervical lymph nodes were mildly swollen. Careful neck palpation revealed tenderness of the anterior median neck. The lungs were clear. The results of the remainder of the physical examination were within normal limits. A lateral neck radiograph revealed an enlargement of the epiglottis and a narrowing of the vallecula.The patient was referred to the hospital to be seen by an otolaryngologist. Fiberoptic laryngoscopy revealed that the lingual surface of the epiglottis was swollen, but the laryngeal surface and the arytenoids remained unswollen. The patient was given hydrocortisone sodium succinate intravenously (300 mg/day) and instructed to take 60 mg of loxoprofen sodium 3 times a day. Here, it was assumed that the patient was very u...

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Evaluation and Management of the Patient with Neck Pain

Broder¹,

L'Italien²

2007

Emergency Medicine: Avoiding the Pitfalls and Improving the Outcomes

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The rising incidence of adult acute epiglottitis and epiglottic abscess

Cited by 147 publications

References 31 publications

Sudden Death from Acute Epiglottitis and Epiglottic Abscess in Adult

Sudden Death from Acute Epiglottitis and Epiglottic Abscess in Adult

Tenderness Over the Hyoid Bone Can Indicate Epiglottitis in Adults

Evaluation and Management of the Patient with Neck Pain

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