1/13. Acute epiglottitis presenting as the sensation of a foreign body in the throat.A 49-year-old man presented with dysphagia and the sensation of a foreign body in the throat, after he had swallowed chicken meat that contained bones during the previous evening. There were no respiratory symptoms. A plain lateral soft-tissue X-ray of the neck and oesophagogastroduodenoscopy showed a grossly swollen epiglottis. His condition improved rapidly with intravenous antibiotic therapy. As acute epiglottitis may be a sudden life-threatening condition, a high index of suspicion should be maintained for patients who present with an obstructive sensation in the throat.- - - - - - - - - - ranking = 1keywords = throat (Clic here for more details about this article) |
2/13. adult acute epiglottitis and foreign body in the throat - chicken or egg?A 53 year old man presented with the chief complaint of having a fish bone stuck in the throat for about 1 h. There was no dysphagia or respiratory symptoms. Plain lateral neck X-ray, direct laryngoscopy and oesophagogastroduodenoscopy showed a grossly swollen epiglottis with narrowing of the laryngeal lumen. No foreign body was found. His condition improved rapidly with intravenous antibiotic therapy. As acute epiglottitis may be a sudden life-threatening condition, a high index of suspicion should be maintained for patients who present with alleged foreign bodies in the throat.- - - - - - - - - - ranking = 1keywords = throat (Clic here for more details about this article) |
3/13. Streptococcal pharyngitis and epiglottitis in a newborn infant.We describe a newborn infant with streptococcus sanguis septicaemia and concomitant upper airway obstruction due to epiglottitis and pharyngitis. This rare infection of the supraglottic region was treated with endotracheal intubation and antibiotics. Full recovery occurred within 4 days.- - - - - - - - - - ranking = 2.8734636073003keywords = pharyngitis (Clic here for more details about this article) |
4/13. epiglottitis and necrotizing fasciitis: a life-threatening complication of infectious mononucleosis.life-threatening cervical complications associated with infectious mononucleosis are rare. The combination of acute epiglottitis and subsequent necrotizing fasciitis of the head and neck in a patient with infectious mononucleosis has not been reported to date.A 47-year-old female with infectious mononucleosis and epiglottitis was admitted to hospital for i.v. therapy. Owing to her poor clinical condition and the spread of the infection to the throat and superior mediastinum, as evidenced by CT, a cervical debridement was performed.After cervical debridement, histological findings were consistent with necrotizing fasciitis. The bacteria identified were Streptococcus viridans, Veilonella spp. and capnocytophaga spp. The patient was hospitalized for 33 days.Mononucleosis, usually a benign condition, may be associated with life-threatening septic complications in the neck and chest. Serial CT or MRI scans are necessary to assess the development of the infection in the deep layers of the neck. Rapid medical treatment, extensive surgical debridement and intensive care are vital.- - - - - - - - - - ranking = 0.16666666666667keywords = throat (Clic here for more details about this article) |
5/13. Atypical epiglottitis.early diagnosis of acute epiglottitis may be difficult in the child presenting atypically. The cases of four patients who displayed atypical presentation are reported. The initial diagnosis in three children was croup and in one, pharyngitis. In the fourth patient, a child who had coexisting meningitis, epiglottitis was an incidental finding. All patients recovered with no sequelae.- - - - - - - - - - ranking = 0.57469272146006keywords = pharyngitis (Clic here for more details about this article) |
6/13. Acute supraglottic laryngitis in adults.Four cases of supraglottic laryngitis in adults have been presented. All were treated conservatively with I.V. hydrocortisone and I.V. antibiotics under close observation. No intubation or tracheostomy was carried out. The author recommends the use of I.V. cefuroxime as an initial form of antibiotic treatment. Mirror laryngoscopy is mandatory in any adult patient who presents with sore throat if epiglottitis is not to be missed as the first consultation.- - - - - - - - - - ranking = 1.2774241251039keywords = sore throat, throat (Clic here for more details about this article) |
7/13. candida epiglottitis in immunocompromised patients.candida seldom has been reported to be a cause of epiglottitis. The clinical manifestations and management of three patients with candida epiglottitis complicating their neoplastic disease are described. All patients were granulocytopenic. candida epiglottitis occurred either as a localized infection, as a source of candida bronchopneumonia, or as a manifestation of disseminated infection. candida epiglottitis may be under-diagnosed and should be considered, especially in immunocompromised patients with symptoms of refractory pharyngitis. Treatment of candida epiglottitis with intravenous amphotericin b is warranted in patients with sustained granulocytopenia. Prompt endotracheal intubation is indicated if the airway patency cannot be maintained.- - - - - - - - - - ranking = 0.57469272146006keywords = pharyngitis (Clic here for more details about this article) |
8/13. epiglottitis: a recurrent episode in a youth.epiglottitis should be suspected in the adolescent with throat pain and dysphagia out of proportion to pharyngeal inflammation. Endolateral neck radiographs or indirect laryngoscopy will confirm the diagnosis. blood and throat or epiglottic cultures always should be obtained. Therapy consists of airway stabilization and antibiotic administration. Although epiglottitis in adolescents is often less acute and less severe than in younger children, it may be life-threatening.- - - - - - - - - - ranking = 0.33333333333333keywords = throat (Clic here for more details about this article) |
9/13. epiglottitis in adults.Acute epiglottitis may be more common in adults than is generally believed, but the diagnosis is often missed. Three cases of adults with epiglottitis are reported. The presenting signs and symptoms included sore throat, dysphagia, symptoms disproportionate to pharyngeal findings, and tenderness over the neck anteriorly. All three patients had a benign course, but acute upper airway obstruction can occur. The diagnosis was established in each case by mirror or flexible fiberoptic laryngoscopy, lateral neck radiographs, or both. Treatment consisted of maintenance of a patent airway and administration of humidified oxygen and antibiotics.- - - - - - - - - - ranking = 1.2774241251039keywords = sore throat, throat (Clic here for more details about this article) |
10/13. Acute epiglottitis in adults.We treated four adults whose upper airway was compromised due to acute epiglottitis. We also reviewed the English literature for all reports of this condition in adults (18 years and older). Among the 158 cases, the infectious etiology was identified in 29 (H. influenzae 20, streptococcus pneumoniae six, H. parainfluenzae two, streptococcus pyogenes one). In the remaining cases, the etiology was uncertain. bacteremia was documented in 23/32 patients (71.9%), but extra-epiglottic infections were strikingly rare (X = six). The clinical manifestations were sore throat (100%), fever (88%), dyspnea (78%), dysphagia (76%), anterior neck cellulitis or tenderness (27%), hoarseness (21%), pharyngitis (20%) and anterior cervical lymphadenopathy (9%). Complete airway obstruction ensued in 23 out of the 119 subjects (18.3%) who had respiratory difficulty. overall mortality rate was 17.6% but it was 6.4% among the patients who were semi-electively tracheostomized or endotracheally intubated. These findings illustrate that antibiotics therapy active against H. influenzae is required in the treatment of acute epiglottitis in adults. Additionally, airway patency should be established when inspiratory stridor appears assuring uncomplicated recovery.- - - - - - - - - - ranking = 1.8521168465639keywords = sore throat, pharyngitis, throat (Clic here for more details about this article) |
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