Epiglottitis natural history, complications and prognosis: Difference between revisions
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{{Epiglottitis}} | {{Epiglottitis}} | ||
{{CMG}} {{AE}} {{PTD}} | {{CMG}}; {{AE}} {{PTD}} | ||
==Overview== | ==Overview== | ||
[[ | If left untreated, [[epiglottitis]] may result in respiratory obstruction and death within a few hours.<ref name="pmid541622">{{cite journal| author=Rivers RL| title=Acute epiglottitis (supraglottitis). | journal=J Forensic Sci | year= 1979 | volume= 24 | issue= 2 | pages= 470-2 | pmid=541622 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=541622 }} </ref> Acute epiglottitis may be complicated by the following:<ref name="pmid17078251">{{cite journal| author=Infernuso T, Watts AE, Ducharme NG| title=Septic epiglottic chondritis with abscessation in 2 young Thoroughbred racehorses. | journal=Can Vet J | year= 2006 | volume= 47 | issue= 10 | pages= 1007-10 | pmid=17078251 | doi= | pmc=1571119 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17078251 }} </ref><ref name="pmid27821835">{{cite journal| author=Rohrbach MR, Shabani S, Wieland A| title=Airway Obstruction Secondary to Emphysematous Epiglottitis: A Case Report. | journal=Am J Case Rep | year= 2016 | volume= 17 | issue= | pages= 834-836 | pmid=27821835 | doi= | pmc=5102242 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27821835 }} </ref><ref name="pmid27821835">{{cite journal| author=Rohrbach MR, Shabani S, Wieland A| title=Airway Obstruction Secondary to Emphysematous Epiglottitis: A Case Report. | journal=Am J Case Rep | year= 2016 | volume= 17 | issue= | pages= 834-836 | pmid=27821835 | doi= | pmc=5102242 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27821835 }} </ref><ref name="pmid23663468">{{cite journal| author=Chang HW, Lin WJ, Hu SY| title=Acute epiglottitis complicating an emphysematous abscess. | journal=CJEM | year= 2013 | volume= 15 | issue= 3 | pages= 184-5 | pmid=23663468 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23663468 }} </ref><ref name="pmid25456339">{{cite journal| author=Hsieh JK, Phelan MP, Wu G, Bricker A, Anne S| title=Epiglottic abscess. | journal=Am J Emerg Med | year= 2015 | volume= 33 | issue= 5 | pages= 734.e5-7 | pmid=25456339 | doi=10.1016/j.ajem.2014.10.036 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25456339 }} </ref> epiglottic [[abscess]], emphysematous [[epiglottitis]], [[septic]] [[epiglottis|epiglottic]] [[chondritis]] with or without abscessation, [[airway obstruction]] and [[pneumonia]]. With appropriate and timely diagnosis and treatment, the prognosis is usually good.<ref name="pmid18931398">{{cite journal| author=Mathoera RB, Wever PC, van Dorsten FR, Balter SG, de Jager CP| title=Epiglottitis in the adult patient. | journal=Neth J Med | year= 2008 | volume= 66 | issue= 9 | pages= 373-7 | pmid=18931398 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18931398 }} </ref> | ||
==Natural history== | ==Natural history== |
Revision as of 20:12, 25 January 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]
Overview
If left untreated, epiglottitis may result in respiratory obstruction and death within a few hours.[1] Acute epiglottitis may be complicated by the following:[2][3][3][4][5] epiglottic abscess, emphysematous epiglottitis, septic epiglottic chondritis with or without abscessation, airway obstruction and pneumonia. With appropriate and timely diagnosis and treatment, the prognosis is usually good.[6]
Natural history
Epiglottitis if left untreated may result in respiratory obstruction and death within few hours.[1]
Complications
Acute epiglottitis may lead to the following complications:[2][3][3][4][5]
- Epiglottic abscess
- Emphysematous epiglottitis
- Septic epiglottic chondritis with or without abscessation
- pneumonia
- septic arthritis
- Airway obstruction
Prognosis
Epiglottitis can be a life-threatening emergency. However, with appropriate and timely diagnosis and treatment usually results in a complete recovery.[6]
References
- ↑ 1.0 1.1 Rivers RL (1979). "Acute epiglottitis (supraglottitis)". J Forensic Sci. 24 (2): 470–2. PMID 541622.
- ↑ 2.0 2.1 Infernuso T, Watts AE, Ducharme NG (2006). "Septic epiglottic chondritis with abscessation in 2 young Thoroughbred racehorses". Can Vet J. 47 (10): 1007–10. PMC 1571119. PMID 17078251.
- ↑ 3.0 3.1 3.2 3.3 Rohrbach MR, Shabani S, Wieland A (2016). "Airway Obstruction Secondary to Emphysematous Epiglottitis: A Case Report". Am J Case Rep. 17: 834–836. PMC 5102242. PMID 27821835.
- ↑ 4.0 4.1 Chang HW, Lin WJ, Hu SY (2013). "Acute epiglottitis complicating an emphysematous abscess". CJEM. 15 (3): 184–5. PMID 23663468.
- ↑ 5.0 5.1 Hsieh JK, Phelan MP, Wu G, Bricker A, Anne S (2015). "Epiglottic abscess". Am J Emerg Med. 33 (5): 734.e5–7. doi:10.1016/j.ajem.2014.10.036. PMID 25456339.
- ↑ 6.0 6.1 Mathoera RB, Wever PC, van Dorsten FR, Balter SG, de Jager CP (2008). "Epiglottitis in the adult patient". Neth J Med. 66 (9): 373–7. PMID 18931398.