Haemophilus epiglottitis.

Br Med J

Published: February 1968

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1985183PMC
http://dx.doi.org/10.1136/bmj.1.5590.508DOI Listing

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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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Background: Haemophilus influenza persists as a well-known root of ill health in children throughout the entire world. Before the introduction of the vaccine, Haemophilus influenza remained a well-known and eminent source of septic arthritis, pneumonia, and epiglottitis. Haemophilus influenza, Neisseria meningitides, and staphylococcus pneumonia spreads through respiratory droplets and cause diseases such as meningitis, pneumonia, and other secondary infections related to respiratory diseases.

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After the implementation of vaccination against Haemophilus Influenza Type B (Hib), adult patients comprise the majority of patients with acute epiglottitis. Its presentation with stridor mandates swift recognition and intervention to prevent airway compromise and mortality. Here, we present a case of a 44-year-old male with diabetes mellitus who presented with acute onset of shortness of breath and stridor following days of throat soreness and fever.

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