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Anales de Otorrinolaringología Mexicana

2022, Number 2

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Otorrinolaringología 2022; 67 (2)

Epiglottitis in an adult: case report, diagnosis and management

Larrea-Nájera A, Andrade-Ortega R

Language: Spanish
References: 27
Page: 163-169
PDF size: 395.42 Kb.


ABSTRACT

Background: Epiglottitis is an infection that commonly appears as a respiratory emergency due to the swelling generated at the supraglottal area. In adults, because of the diameter of the upper airway, it presents as a less dramatic condition with sore throat and fever, without necessarily showing stridor or respiratory distress. The main cause of death is the failure in the timely diagnosis.
Clinical case: A 56-year-old patient, with dyslipidemia accompanied by sore throat, odynophagia and dysphagia associated with fever, dysphonia and muffled voice within one day of evolution. He was diagnosed with epiglottitis and was admitted to hospital for medical attention with no requirement of any intervention of the upper airway.
Conclusions: Epiglottitis has not disappeared. It has changed throughout the times and will not come up in a dramatic fashion, as it was classic in the case of children. However, it is of utmost importance to make a timely diagnosis and carry out the suitable treatment to avoid fatal complications.


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