title: Acute epiglottitis in adults - a recent review in an Indian hospital.
abstract: OBJECTIVE
  To examine the mode of presentation, clinical course and treatment of acute epiglottitis in a series of adult patients.
  
  
  METHODS
  All adults with acute epiglottitis admitted to teaching hospital over a period of 12 months were included in this retrospective study. The diagnosis of epiglottitis was eatablished by laryngoscopy and soft tissue X-ray neck lateral view.
  
  
  RESULTS
  Twelve patients were included. Three patients had concurrent acute tonsillitis. Blood cultures were negative in all the cases. Pathogens were isolated by throat swabs only in three patients with acute tonsillitis. Two patients underwent intubation for management of airway obstruction. A combination of coamoxy-clav and metronidazole was the most common antibiotic regimen used.
  
  
  CONCLUSIONS
  The rising incidence of acute epiglottitis in the adults necessitates the close observance on the part of the otolaryngologist. Selective airway intervention is recommended for patients with more than 50% airway obstruction.
authors.affiliation: Department of ENT and Head and Neck Surgery, Vivekananda Institute of Medical Sciences, Ramakrishna Mission Seva Pratishthan, Kolkata, India.
authors.forename: Saurav
authors.initials: S
authors.lastname: Sarkar
authors.forename: A
authors.initials: A
authors.lastname: Roychoudhury
authors.forename: B K
authors.initials: BK
authors.lastname: Roychaudhuri
keywords: Acute epiglottitis; Adult population; Haemophilus influenzae; Laryngoscopy