title: Epiglottic enlargement: two unusual causes.
abstract: We present two patients with airway obstruction due to supraglottic swelling; one was caused by a brown spider bite on an ear (loxoscelism) and the other from eating buffalo fish. In the latter patient it was likely due to scrombroid poisoning, a histamine-like reaction, but may have been an anaphylaxic reaction.
authors.affiliation: Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, Missouri.
authors.forename: T E
authors.initials: TE
authors.lastname: Herman
authors.forename: W H
authors.initials: WH
authors.lastname: McAlister
mesh_terms: D000208:Acute Disease; D000402:Airway Obstruction / Q000000981:diagnostic imaging / Q000209:etiology; D000818:Animals; D002648:Child; D004826:Epiglottitis / Q000000981:diagnostic imaging / Q000209:etiology*; D005399:Fishes; D005512:Food Hypersensitivity / Q000150:complications; D005519:Food Preservation; D006801:Humans; D007223:Infant; D008297:Male; D008387:Marine Toxins / Q000506:poisoning*; D011859:Radiography; D001098:Spider Bites / Q000150:complications*
chemical_list: D008387:Marine Toxins; C034101:scombrotoxin