Infectious Acute Epiglotite: About 1 case in the Emergency Vital Service CHU- MOHAMED VI Marrakech

Leonard Bouebazebi Biantona, Zarouf Safae, Moufid Mourad, Rhezali Manel, Hayate Errifaiy, Aboulhassan Taoufik, Nejmi Hicham
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Abstract

Acute infectious epiglottitis in adults is a rare but serious condition. For a long time, this condition was considered an illness of children between 2 and 6 years old. It can be seen in adults but remains misdiagnosed to this day, due to its misleading and polymorphic symptomatology in adults [1]. Inspiratory dyspnea associated with stridor is key signs to guide the diagnosis. Laryngoscopy and nasofibroscopy allow us to confirm the diagnosis [10]. Acute epiglottitis is an infectious and respiratory emergency that can be life-threatening due to obstruction of the upper airways [1]. It requires rapid treatment, which may even involve a tracheal approach. Naso or oro tracheal intubation and/or tracheotomy are emergency means used in severe acute epiglotitis. Antibiotic therapy also remains a therapeutic emergency and must be started early. We will report the observation of 1 case of a 46-year-old patient, admitted for acute inspiratory dyspnea of rapidly progressive onset, admitted to the Emergency vital Service of Chu Mohamed VI Marrakech.
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传染性急性外阴炎:马拉喀什穆罕默德六世医院(CHU- MOHAMED VI Marrakech)急诊生命服务处约有 1 例病例
成人急性传染性会厌炎是一种罕见但严重的疾病。长期以来,这种疾病被认为是 2 至 6 岁儿童的疾病。成人中也会出现这种疾病,但由于其在成人中的症状具有误导性和多态性,至今仍被误诊[1]。吸气性呼吸困难伴有喘鸣是指导诊断的关键体征。喉镜检查和鼻纤维镜检查有助于确诊[10]。急性会厌炎是一种感染性呼吸道急症,可因上呼吸道阻塞而危及生命[1]。它需要快速治疗,甚至可能需要气管插管。鼻腔或口腔气管插管和/或气管切开术是用于严重急性上呼吸道感染的紧急手段。抗生素治疗也是一种紧急治疗手段,必须尽早开始。马拉喀什穆罕默德六世医院急诊科收治了一例 46 岁的急性吸气性呼吸困难患者。
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