eMedicine Specialties > Emergency Medicine > Ear, Nose, & Throat

Epiglottitis, Adult: Multimedia

Author: Jeffrey Glenn Bowman, MD, MS, Consulting Staff, Highfield MRI, Columbus, Ohio
Contributor Information and Disclosures

Updated: Apr 10, 2009

Multimedia

Soft-tissue lateral neck radiograph reveals edema...Media file 1: Soft-tissue lateral neck radiograph reveals edema of epiglottis consistent with acute epiglottitis.
Soft-tissue lateral neck radiograph reveals edema...

Soft-tissue lateral neck radiograph reveals edema of epiglottis consistent with acute epiglottitis.

More on Epiglottitis, Adult

Overview: Epiglottitis, Adult
Differential Diagnoses & Workup: Epiglottitis, Adult
Treatment & Medication: Epiglottitis, Adult
Follow-up: Epiglottitis, Adult
Multimedia: Epiglottitis, Adult
References
Further Reading

References

  1. Hopkins A, Lahiri T, Salerno R, Heath B. Changing epidemiology of life-threatening upper airway infections: the reemergence of bacterial tracheitis. Pediatrics. Oct 2006;118(4):1418-21. [Medline].

  2. Berg S, Trollfors B, Nylen O, Hugosson S, Prellner K, Carenfelt C. Incidence, aetiology, and prognosis of acute epiglottitis in children and adults in Sweden. Scand J Infect Dis. 1996;28(3):261-4. [Medline].

  3. Guldfred LA, Lyhne D, Becker BC. Acute epiglottitis: epidemiology, clinical presentation, management and outcome. J Laryngol Otol. Aug 2008;122(8):818-23. [Medline].

  4. Chan KO, Pang YT, Tan KK. Acute epiglottitis in the tropics: is it an adult disease?. J Laryngol Otol. Sep 2001;115(9):715-8. [Medline].

  5. Faden H. The dramatic change in the epidemiology of pediatric epiglottitis. Pediatr Emerg Care. Jun 2006;22(6):443-4. [Medline].

  6. Katori H, Tsukuda M. Acute epiglottitis: analysis of factors associated with airway intervention. J Laryngol Otol. Dec 2005;119(12):967-72. [Medline].

  7. Kavanagh KR, Batti JS. Traumatic epiglottitis after foreign body ingestion. Int J Pediatr Otorhinolaryngol. Jun 2008;72(6):901-3. [Medline].

  8. Young LS, Price CS. Complicated adult epiglottitis due to methicillin-resistant Staphylococcus aureus. Am J Otolaryngol. Nov-Dec 2007;28(6):441-3. [Medline].

  9. Yong MG, Choo MJ, Yum CS, et al. Radiologic laryngeal parameters in acute supraglottitis in Korean adults. Yonsei Med J. Aug 2001;42(4):367-70. [Medline].

  10. Werner SL, Jones RA, Emerman CL. Sonographic assessment of the epiglottis. Acad Emerg Med. Dec 2004;11(12):1358-60. [Medline].

  11. Chandradeva K, Palin C, Ghosh SM, Pinches SC. Percutaneous transtracheal jet ventilation as a guide to tracheal intubation in severe upper airway obstruction from supraglottic oedema. Br J Anaesth. May 2005;94(5):683-6. [Medline].

  12. Berger G, Landau T, Berger S, Finkelstein Y, Bernheim J, Ophir D. The rising incidence of adult acute epiglottitis and epiglottic abscess. Am J Otolaryngol. Nov-Dec 2003;24(6):374-83. [Medline].

  13. Caballero M, Sabater F, Traserra J, Alos L, Bernal-Sprekelsen M. Epiglottitis and necrotizing fasciitis: a life-threatening complication of infectious mononucleosis. Acta Otolaryngol. Oct 2005;125(10):1130-3. [Medline].

  14. Carey MJ. Epiglottitis in adults. Am J Emerg Med. Jul 1996;14(4):421-4. [Medline].

  15. Ducic Y, Hebert PC, MacLachlan L, Neufeld K, Lamothe A. Description and evaluation of the vallecula sign: a new radiologic sign in the diagnosis of adult epiglottitis. Ann Emerg Med. Jul 1997;30(1):1-6. [Medline].

  16. Gagnon R, Bedard PM, Cote L, Lavoie A, Hebert J. Recurrent acute epiglottitis in adults: defective antibody response. Ann Allergy Asthma Immunol. May 2002;88(5):513-7. [Medline].

  17. Gerber AC, Pfenninger J. Acute epiglottitis: management by short duration of intubation and hospitalisation. Intensive Care Med. 1986;12(6):407-11. [Medline].

  18. Hussan WU, Keaney NP. Bilateral thoracic empyema complicating adult epiglottitis. J Laryngol Otol. Oct 1991;105(10):858-9. [Medline].

  19. Kornak JM, Freije JE, Campbell BH. Caustic and thermal epiglottitis in the adult. Otolaryngol Head Neck Surg. Feb 1996;114(2):310-2. [Medline].

  20. Lee AH, Ramsay AD. Cartilaginous metaplasia of the epiglottis. J Laryngol Otol. Nov 1990;104(11):903-4. [Medline].

  21. Mayo-Smith M. Fatal respiratory arrest in adult epiglottitis in the intensive care unit. Implications for airway management. Chest. Sep 1993;104(3):964-5. [Medline].

  22. Mayo-Smith MF, Spinale JW, Donskey CJ, Yukawa M, Li RH, Schiffman FJ. Acute epiglottitis. An 18-year experience in Rhode Island. Chest. Dec 1995;108(6):1640-7. [Medline].

  23. MayoSmith MF, Hirsch PJ, Wodzinski SF, Schiffman FJ. Acute epiglottitis in adults. An eight-year experience in the state of Rhode Island. N Engl J Med. May 1 1986;314(18):1133-9. [Medline].

  24. Pino Rivero V, Pantoja Hernandez CG, Gonzalez Palomino A, Mora Santos ME, Pardo Romero G, Blasco Huelva A. [Sudden cardiorespiratory arrest in adults with acute epiglottitis. Report of 2 cases]. An Otorrinolaringol Ibero Am. 2007;34(1):1-8. [Medline].

  25. Wallenborn PA 3rd, Postma DS. Radiation recall supraglottitis. A hazard in head and neck chemotherapy. Arch Otolaryngol. Sep 1984;110(9):614-7. [Medline].

  26. Wetmore RF, Handler SD. Epiglottitis: evolution in management during the last decade. Ann Otol Rhinol Laryngol. Nov-Dec 1979;88:822-6. [Medline].

  27. Wick F, Ballmer PE, Haller A. Acute epiglottis in adults. Swiss Med Wkly. Oct 12 2002;132(37-38):541-7. [Medline].

Further Reading

Clinical guidelines

1) General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). 2) Update: recommendations from the Advisory Committee on Immunization Practices (ACIP) regarding administration of combination MMRV vaccine
.

Centers for Disease Control and Prevention (CDC), Advisory Committee on Immunization Practices (ACIP). Update: recommendations from the Advisory Committee on Immunization Practices (ACIP) regarding administration of combination MMRV vaccine. MMWR Morb Mortal Wkly Rep 2008 Mar 14;57(10):258-60. PubMed

Kroger AT, Atkinson WL, Marcuse EK, Pickering LK, Advisory Committee on Immunization Practices (ACIP) Centers for Disease. General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP) [published errata appear in MMWR Morb Mortal Wkly Rep 2007 Mar 23;56(11):256]. MMWR Recomm Rep 2006 Dec 1;55(RR-15):1-48.

Keywords

epiglottitis, supraglottitis, inflammation of the epiglottis, sudden airway obstruction, Haemophilus influenzae b vaccine, H influenzae, Haemophilus influenzae type b, Hib vaccine, Hib vaccination

Contributor Information and Disclosures

Author

Jeffrey Glenn Bowman, MD, MS, Consulting Staff, Highfield MRI, Columbus, Ohio
Disclosure: Nothing to disclose.

Medical Editor

Debra Slapper, MD, Consulting Staff, Department of Emergency Medicine, St Anthony's Hospital
Debra Slapper, MD is a member of the following medical societies: American Academy of Emergency Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Mark W Fourre, MD, Program Director, Department of Emergency Medicine, Maine Medical Center; Associate Clinical Professor, Department of Surgery, University of Vermont School of Medicine
Disclosure: Nothing to disclose.

CME Editor

John D Halamka, MD, MS, Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center
John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Chief Editor

Pamela L Dyne, MD, Professor of Clinical Medicine/Emergency Medicine, David Geffen School of Medicine at UCLA; Attending Physician, Department of Emergency Medicine, Olive View-UCLA Medical Center
Pamela L Dyne, MD is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

 
 
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