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Epiglottitis is an inflammatory condition involving the epiglottis and surrounding tissues. While it can develop at any age, it was traditionally more common in children, largely due to infections with type B (Hib). Since the introduction of the Hib vaccine, the incidence in children has significantly decreased, while cases in adults have become more prevalent.

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Article Synopsis
  • Epiglottitis is an inflammation of the epiglottis that can cause airway obstruction, previously mostly affecting children due to Hib infections, but now more common in adults following widespread vaccinations.
  • A case of a fully vaccinated 58-year-old woman revealed severe symptoms and a successful bedside nasopharyngoscopy by emergency medicine, preventing the need for intubation.
  • The report emphasizes recognizing epiglottitis in adults, the role of emergency physicians in performing nasopharyngoscopy, and the effectiveness of early treatment with antibiotics and corticosteroids for better recovery outcomes.
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Epiglottitis is a critical infection that can result in upper airway obstruction. While bacterial infections are the most common cause of acute epiglottitis, Candida epiglottitis remains relatively rare. We report a case involving an 82-year-old male undergoing chemotherapy for small cell lung cancer.

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Acute Supraglottitis Causing Airway Obstruction in Adults - A Case Series.

Indian J Otolaryngol Head Neck Surg

December 2024

Department of Otorhinolaryngology, Head and Neck Surgery, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu 602,105 India.

Acute adult supraglottitis is a serious and potentially life-threatening condition marked by inflammation of the supraglottic structures, posing a significant risk for rapid airway compromise. This case series highlights the varied presentations and management challenges associated with adult supraglottitis. The four cases involve adult males, most with uncontrolled diabetes mellitus, presenting with symptoms such as difficulty breathing, sore throat, dysphagia, and voice changes.

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Background: The factors related to emergency intervention for internal medicine conditions leading to airway obstruction are not clear.

Objective: We aimed to identify factors associated with emergency interventions in acute airway obstructive diseases (AAODs).

Methods: This is a retrospective observational single-center study.

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