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Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Am+J+Case+Rep 2016 ; 17 (ä): 834-6 Nephropedia Template TP
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Airway Obstruction Secondary to Emphysematous Epiglottitis: A Case Report #MMPMID27821835
Rohrbach MR; Shabani S; Wieland A
Am J Case Rep 2016[]; 17 (ä): 834-6 PMID27821835show ga
Patient: Male, 59Final Diagnosis: Emphysematous epiglottitisSymptoms: Dysphonia ? odynophagia ? sore throatMedication: ?Clinical Procedure: Direct laryngoscopy with incision and drainage of abscessSpecialty: OtolaryngologyObjective:: Rare disease Background:: Despite a shift in the epidemiology of epiglottitis following the introduction of the Haemophilus influenzae type B vaccine, acute infectious epiglottitis continues to be a relatively common and potentially life-threatening infection in adults. Epiglottitis complicated by abscess is rare, and emphysematous abscess is even less common. Early diagnosis and intervention is paramount in reducing morbidity and mortality. Although case reports exist, photographic depiction of this complication is not readily available. Case Report:: We present the case of a 59-year-old male with rapidly progressive emphysematous epiglottitis managed with awake fiber optic intubation followed by incision, drainage, and antibiotic therapy. Early recognition and intervention in this patient led to complete resolution of the infection, with no long-term sequelae. Conclusions:: Clinicians should be familiar with the radiographic and endoscopic findings which support an emphysematous abscess, as well as the treatment and airway management concerns in such cases.