title: Meningococcal epiglottitis in a diabetic adult patient: a case report.
abstract: BACKGROUND
  After deployment of the Haemophilus influenzae vaccination, the range of pathogens causing acute epiglottitis has changed, as has the epidemiology from a primarily pediatric syndrome towards more frequent adult onset.
  
  
  OBJECTIVE
  We present a case of acute-onset meningococcal epiglottitis in an adult patient, to our knowledge one of a few reported cases in the medical literature. We review the historic changes and outcomes of similar episodes.
  
  
  METHODS
  A 37-year-old diabetic man presented to our Emergency Department in acute respiratory distress. Examination revealed epiglottitis; his airway subsequently closed rapidly and was secured by surgical cricothyroidotomy; blood cultures showed the primary pathogen to be Neisseria meningitidis type C.
  
  
  CONCLUSIONS
  Neisseria meningitidis has been found to be an emerging cause of acute epiglottitis in adult patients over the last decade, possibly having worsened outcomes compared to other etiologies.
authors.affiliation: Department of Emergency Medicine, New York-Presbyterian/Columbia University Medical Center, New York, New York 10065, USA.
authors.forename: Derek Kuhl
authors.initials: DK
authors.lastname: Richardson
authors.forename: Trina
authors.initials: T
authors.lastname: Helderman
authors.forename: Paris B
authors.initials: PB
authors.lastname: Lovett
authors.forename: Paris
authors.initials: P
authors.lastname: Lovett
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D004826:Epiglottitis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy*; D006801:Humans; D008297:Male; D008589:Meningococcal Infections / Q000150:complications*; D009345:Neisseria meningitidis; D012135:Respiratory Sounds; D014139:Tracheostomy
chemical_list: D000900:Anti-Bacterial Agents