Adult epiglottitis: what are the signs?

29 Jul

PRESENTING SIGNS/SYMPTOMS:

  • sore throat or odynophagia (90 to 100 %)
  • Fever ≥37.5ºC (26 to 90 %)
  • Muffled voice (50 to 80 %)
  • Drooling (15 to 65 %)
  • Stridor or respiratory compromise (33 %)
  • Hoarseness (20 to 40 %)

progression of symptoms in adults is slower than that in children

one series of 106 patients,

  • 65% presented within two days of symptom onset,
  • 9% (a decent number) presented more than one week later

 

TREATMENT OPTIONS:

Use of glucocorticoids is controversial without clear evidence either way

Empiric abx should be combination therapy with 3rd gen cephalosporin and MRSA coverage

 

Submitted by J. Stanton.

 

References: uptodate.com; picture

 

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