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Epiglottic abscess as a complication of acute epiglottitis.

AbstractOBJECTIVE:
An epiglottic abscess is considered a life-threatening medical situation that can cause death by obstruction the upper airways. We describe a 58-year-old man who presented to our hospital with sore throat, dysphagia and dysphonia.
MATERIALS AND METHODS:
A fiberoptic laryngoscope (FOL) demonstrated beefy red edematous epiglottis with edema extending from the base of the tongue to the aryepiglottic folds and arytenoids. CT scan showed multiple air bubbles inside the swollen epiglottis, in keeping with the diagnosis of necrotizing epiglottic abscess.
RESULTS:
Under local anesthesia we performed puncture of the abscess at the tip of the epiglottis. He was dismissed 5days from his admission to the hospital after an improvement was noticed in his epiglottis.
CONCLUSION:
Treatment consists of airway management if needed under anesthesia and draining of the abscess. An IV antibiotics plus corticosteroids should be administrated the moment a suspicion of epiglottitis is present.
AuthorsJawad Hindy, Rosa Novoa, Yuval Slovik, Marc Puterman, Ben-Zion Joshua
JournalAmerican journal of otolaryngology (Am J Otolaryngol) 2013 Jul-Aug Vol. 34 Issue 4 Pg. 362-5 ISSN: 1532-818X [Electronic] United States
PMID23391346 (Publication Type: Case Reports, Journal Article)
CopyrightCopyright © 2013 Elsevier Inc. All rights reserved.
Chemical References
  • Adrenal Cortex Hormones
  • Anti-Bacterial Agents
Topics
  • Abscess (diagnostic imaging, drug therapy, etiology)
  • Acute Disease
  • Adrenal Cortex Hormones (therapeutic use)
  • Anti-Bacterial Agents (therapeutic use)
  • Deglutition Disorders (diagnosis, etiology)
  • Drug Therapy, Combination
  • Emergency Service, Hospital
  • Epiglottitis (complications, diagnostic imaging, drug therapy)
  • Follow-Up Studies
  • Humans
  • Laryngeal Diseases (diagnostic imaging, drug therapy, etiology)
  • Laryngoscopy (methods)
  • Male
  • Middle Aged
  • Pharyngitis (diagnosis, etiology)
  • Risk Assessment
  • Severity of Illness Index
  • Tomography, X-Ray Computed (methods)
  • Treatment Outcome

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