[Epiglottic abscess as a rare reason for airway obstruction in adults].
Acute epiglottitis in adults is a potentially life-threatening disease of increasing incidence. Although pharyngitis is the most common cause of sore throat in the adult, acute epiglottitis must be considered in the differential diagnosis when there is unrelenting throat pain and minimal objective signs of pharyngitis. We report the case of a 45-year old man with acute epiglottitis and occlusion of the upper airways due to an epiglottic abscess. A brief discussion of the diagnosis and treatment of adult epiglottitis is presented. Patients with acute painful dysphagia should be considered to have epiglottitis until the diagnosis is proven. Early diagnosis and aggressive airway management can be life saving.
Kunitz
O
O
Klinik für Anästhesiologie am Universitätsklinikum der RWTH Aachen, Germany. oliver.kunitz@post.rwth-aachen.de
Di Martino
E
E
Schulz-Stübner
S
S
D000038:Abscess / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology; D003680:Deglutition Disorders / Q000209:etiology; D003937:Diagnosis, Differential; D004825:Epiglottis / Q000473:pathology; D004826:Epiglottitis / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D006801:Humans; D007442:Intubation, Intratracheal; D008297:Male; D008875:Middle Aged; D010612:Pharyngitis / Q000175:diagnosis