Case Report

Case report of acute epiglottitis in a 44-year-old man: a rare case

I Gusti Ayu Putu Wahyu Widiantari , Nyoman Dian Permatasari, Ida Bagus Semara Putra

I Gusti Ayu Putu Wahyu Widiantari
Otorhinolaryngology-Head and Neck Surgery Department Mangusada General Hospital, Badung, Bali. Email: gekwahyu@gmail.com

Nyoman Dian Permatasari
Otorhinolaryngology-Head and Neck Surgery Department Mangusada General Hospital, Badung, Bali

Ida Bagus Semara Putra
Otorhinolaryngology-Head and Neck Surgery Department Mangusada General Hospital, Badung, Bali
Online First: October 26, 2021 | Cite this Article
Widiantari, I., Permatasari, N., Putra, I. 2021. Case report of acute epiglottitis in a 44-year-old man: a rare case. Intisari Sains Medis 12(3): 785-788. DOI:10.15562/ism.v12i3.954


Background: Acute epiglottitis, also known as supraglottitis or supraglottic laryngitis, is an acute inflammation of the supraglottic area of the larynx. The diagnosis can be made based on clinical signs and symptoms as well as several investigations.

Case Description: We reported a case of a 44-year-old man who presented to our emergency department and whose condition was ultimately diagnosed as epiglottitis. Indirect laryngoscopy and lateral soft tissue neck radiograph had an important role in determining the diagnosis. The patient was treated conservatively by giving a high dosed antibiotic, anti-inflammatory, and analgesic drugs.

Conclusion: Acute epiglottitis can be a life-threatening condition because it can cause sudden upper airway obstruction. Therefore, management must be given quickly and precisely so as not to fall into a life-threatening condition.

References

Gompf, S.G. Epiglotitis 2011. Available from: http//emedicine.medscape.com.article/763612 (Accessed in November,13th 2020)

Chung, C.H. Case and Literature Review: Adult Acute Epiglottitis — Rising Incidence or Increasing Awareness. Hong Kong JEmerg Med.. Available from http://www.hkcem.com/html/publications/Journal/2001-3/227-231.pdf [Accessed in November,13th 2020].

3 Snow, J.B., Ballenger, J.J. Ballenger's Otorhinolaryngology Head and Neck Surgery. 16th Ed. USA: BC Decker; 2003:1090-1093,1195-1199.

Tolan, R.W. Pediatric Epiglottitis. 2011.Available from: http:// http://emedicine.medscape.com/article/963773 [Accessed in November,13th 2020].

Adams GL, Boies LR, Higler PA. Laring. In: Boies Buku Ajar Penyakit THT. Edisi 6. Cetakan Ketiga. Jakarta: EGC; 1997. P369-396

Probft R, Grevers G. Infectious Diseases of the Larynx and Trachea in Children. In :Basic Otorhinolaryngology.Stutgard, New York. Thieme. P354-356.

Dhingra, P.L. Acute and Chronic Inflammation of Larynx. In: Dhingra, P.L. Diseases of Ear, Nose and Throat. 4th Ed. USA: Elsevier; 2007

Chung, C.H. Acute Epiglottitis Presenting as the Sensation of a Foreign Body in the Throat. Hong Kong Med J. September 2000. Available from: http://www.hkmj.org/article dfs/hkm0009p322.pdf [Accessed in November,13th 2020].

Wick, F., Ballmer, P.E., Haller, A. Acute Epiglottitis in Adults. Swiss Med Wkly. 2002; 132: 541-546. Available from http://www.smw.ch/docs/pdO00v2002/37/smw-10050.PDF [Accessed in November,13th 2020].

Cummings, C.W. et al. Cummings Otolaryngology - Head & Neck Surgery. 4th Ed. USA: Elsevier; 2010: 2065-2075.

Suzuki S, Yasunaga H, Matsui H, Fushimi K, Yamasoba T. Factors associated with severe epiglottitis in adults: analysis of a Japanese inpatient database. Laryngoscope 2015 Sep;125(9):2072-8. Available from: https://doi.org/10.1002/lary.25114 [Accessed in November,13th 2020].

Guardiani E, Bliss M, Harley E. Supraglottitis in the era following widespread immunization against Haemophilus influenzae type B: evolving principles in diagnosis and management. Laryngoscope 2010 Nov;120(11):2183-8. Available from: https://doi.org/10.1002/ lary.21083 [Accessed in November,13th 2020].

Chroboczek T, Cour M, Hernu R, et al. Long-term outcome of critically ill adult patients with acute epiglottitis. PLoS One 2015 May 6;10(5):e0125736. Available from: https://doi.org/10.1371/journal.pone.0125736 [Accessed in November,13th 2020].

Shah RK, Stocks C. Epiglottitis in the United States: national trends, variances, prognosis, and management. Laryngoscope 2010 Jun;120(6):1256- 62. Available from: https://doi.org/10.1002/lary.20921 [Accessed in November,13th 2020].

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 2003 Nov-Dec;24(6):374-83. Available from: https:// doi.org/10.1016/s0196-0709(03)00083-8 [Accessed in November,13th 2020].

Frantz TD, Rasgon BM, Quesenberry CP Jr. Acute epiglottitis in adults. Analysis of 129 cases. JAMA 1994 Nov 2;272(17):1358-60. Available from: https://doi.org/ 10.1001/jama.1994.03520170068038 [Accessed in November,13th 2020].

Westerhuis B, Bietz MG, Lindemann J. Acute epiglottitis in adults: an under-recognized and lifethreatening condition. S D Med 2013 Aug;66(8): 309-11, 313.

Hung TY, Li S, Chen PS, et al. Bedside ultrasonography as a safe and effective tool to diagnose acute epiglottitis. Am J Emerg Med 2011 Mar;29(3):359.e1-3. Available from: https://doi.org/10.1016/j. ajem.2010.05.001 [Accessed in November,13th 2020].

Glynn F, Fenton JE. Diagnosis and management of supraglottitis (epiglottitis). Curr Infect Dis Rep 2008 May;10(3):200-4. Available from: https://doi.org/10.1007/ s11908-008-0033-8 [Accessed in November,13th 2020].

Harris C, Sharkey L, Koshy G, Simler N, Karas JA. A rare case of acute epiglottitis due to Staphylococcus aureus in an adult. Infect Dis Rep 2012 Jan;4(1):e3. Available from: https://doi.org/10.4081/idr.2012.e3 [Accessed in November,13th 2020].

Isakson M, Hugosson S. Acute epiglottitis: epidemiology and Streptococcus pneumoniae serotype distribution in adults. J Laryngol Otol 2011 Apr;125(4):390-3. Available from: https://doi.org/10.1017/ s0022215110002446 [Accessed in November,13th 2020].

Ward MA. Emergency department management of acute respiratory infections. Semin Respir Infect 2002 Mar;17(1):65-71. Available from: https://doi.org/10.1053/ srin.2002.31692 [Accessed in November,13th 2020].

Sobol SE, Zapata S. Epiglottitis and croup. Otolaryngol Clin North Am 2008 Jun;41(3):551-66, ix. Available from: https://doi.org/10.1016/j.otc.2008.01.012 [Accessed in November,13th 2020].

Mandal A, Kabra SK, Lodha R. Upper airway obstruction in children. Indian J Pediatr 2015 Aug;82(8):737-44. Available from: https://doi.org/10.1007/ s12098-015-1811-6 [Accessed in November,13th 2020].

Wiebe K, Rowe BH. Nebulized racemic epinephrine used in the treatment of severe asthmatic exacerbation: a case report and literature review. CJEM 2007 Jul;9(4):304-8. Available from: https://doi.org/ 10.1017/s1481803500015220 [Accessed in November,13th 2020].

Vermelis AM, Mateijsen N, Giebelen D, Meeusen V, Wong DT, van Zundert AA. Successful use of videolaryngoscopy in an adult patient with acute epiglottitis: a case report. Acta Anaesthesiol Belg 2010;61(2):67-70.

Riffat F, Jefferson N, Bari N, McGuinness J. Acute supraglottitis in adults. Ann Otol Rhinol Laryngol 2011 May;120(5):296-9. Available from: https://doi.org/ 10.1177/000348941112000503 [Accessed in November,13th 2020].

Garmel GM. Image diagnosis: abnormal plain films from the emergency department. Perm J 2009 Summer;13(3):47. Available from: https://doi.org/10.7812/ TPP/09-071 [Accessed in November,13th 2020].


No Supplementary Material available for this article.
Article Views      : 75
PDF Downloads : 33