Hamzah Adel Ramawad, Robert Seatherton, Jessica Chineme
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引用次数: 0
摘要
在实施乙型流感嗜血杆菌(Hib)疫苗接种后,急性会厌炎患者中大多数为成年患者。急性会厌炎表现为呼吸困难,必须迅速识别并采取干预措施,以防止气道受损和死亡。在此,我们介绍了一例 44 岁男性糖尿病患者的病例,他在咽喉疼痛和发热数日后出现急性呼吸急促和喘鸣。急诊科的评估结果显示,颈部软组织侧位 X 光片和鼻咽镜检查显示急性会厌炎的特征性体征。患者接受了静脉注射氨苄西林/舒巴坦和地塞米松的治疗,第 4 天出院回家。本病例强调,对于出现喘鸣和呼吸困难的成人,高度怀疑急性会厌炎至关重要。及时识别、气道管理和适当的抗生素治疗对于减轻与这种疾病相关的潜在破坏性后果至关重要。随着人口结构的变化和疫苗接种对流行病学的影响,在急诊环境中提高警惕对改善急性会厌炎成人患者的预后至关重要。
Adult Epiglottitis as an Often Overlooked, Life-threatening Condition Requiring Special Airway Consideration; a Case Report.
After the implementation of vaccination against Haemophilus Influenza Type B (Hib), adult patients comprise the majority of patients with acute epiglottitis. Its presentation with stridor mandates swift recognition and intervention to prevent airway compromise and mortality. Here, we present a case of a 44-year-old male with diabetes mellitus who presented with acute onset of shortness of breath and stridor following days of throat soreness and fever. Initial treatment for suspected anaphylaxis provided partial relief, and emergency department evaluation revealed characteristic signs of acute epiglottitis on lateral soft tissue neck x-ray and nasopharyngoscopy. Treatment was initiated with intravenous ampicillin/sulbactam and dexamethasone, and the patient was discharged home on day 4. This case underscores the critical importance of maintaining a high index of suspicion for acute epiglottitis in adults presenting with stridor and respiratory distress. Prompt recognition, airway management, and appropriate antibiotic therapy are paramount in mitigating the potentially devastating outcomes associated with this condition. As demographics shift and vaccination impacts epidemiology, heightened vigilance in emergency settings is essential to improve outcomes in adult patients with acute epiglottitis.