Adult respiratory distress syndrome in a child with acute epiglottitis.
Intubation of a 23-month-old child suffering epiglottitis was complicated by pulmonary edema progressing to the adult respiratory distress syndrome. Increased pulmonary shunt and pulmonary hypertension required high levels of positive end-expiratory pressure and prolonged mechanical ventilation to correct hypoxemia. A possible role for a cuffed endotracheal tube in epiglottitis is discussed.
D000208:Acute Disease; D004826:Epiglottitis / Q000150:complications*; D006801:Humans; D007223:Infant; D007827:Laryngitis / Q000150:complications*; D008297:Male; D011654:Pulmonary Edema / Q000150:complications; D012128:Respiratory Distress Syndrome / Q000209:etiology*