关键词: acute epiglottitis adult epiglottitis airway emergency stridor upper airway diseases

来  源:   DOI:10.7759/cureus.49984   PDF(Pubmed)

Abstract:
Adult epiglottitis, once primarily associated with pediatric populations, has emerged as a distinctive clinical entity with potentially life-threatening implications. This condition is characterized by inflammation and swelling of the epiglottis, presenting initially as a seemingly benign sore throat and dysphagia but progressing rapidly to more severe symptoms such as drooling, severe odynophagia, hoarse voice, and acute upper airway obstruction. Timely diagnosis and intervention are paramount, as delayed presentation can result in fatal outcomes even in adults. The cornerstone of treatment involves securing the airway, providing supplemental oxygen, and administering intravenous antibiotics. In this report, we present a case of adult epiglottitis in a 20-year-old individual, discussing the clinical presentation, diagnostic considerations, and the essential components of its management. Recognition of adult epiglottitis as a distinct clinical entity is crucial for healthcare practitioners to ensure prompt intervention and optimize patient outcomes.
摘要:
成人会厌炎,曾经主要与儿科人群有关,已经成为一个独特的临床实体,可能危及生命。这种情况的特征是会厌的炎症和肿胀,最初表现为看似良性的喉咙痛和吞咽困难,但迅速发展为更严重的症状,如流口水,严重吞咽困难,嘶哑的声音,和急性上呼吸道阻塞.及时的诊断和干预至关重要,即使在成年人中,延迟就诊也可能导致致命的结果。治疗的基石包括固定气道,提供补充氧气,静脉注射抗生素.在这份报告中,我们介绍了一个20岁的成人会厌炎病例,讨论临床表现,诊断注意事项,以及其管理的基本组成部分。认识到成人会厌炎作为一个独特的临床实体是至关重要的医疗从业者,以确保及时干预和优化患者的结果。
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