Saeed Irfan, Malik Sher Muhammad, Waleem Sheikh Saadat Ullah, Ahmed Shakeel
Department of ENT, Combined Military Hospital, Abbottabad.
J Coll Physicians Surg Pak. 2007 Jul;17(7):427-8.
A case of acute epiglottic abscess is reported in an adult female patient who presented with odynophagia and fever. Initial treatment with parenteral antibiotics was not much of a success until incision and drainage of abscess was carried out under general anaesthesia after securing airway with preliminary tracheostomy. Diagnostic difficulties due to different mode of presentation in adults are emphasized. The diagnostic workup and treatment options are discussed.
本文报告了一例成年女性急性会厌脓肿病例,该患者表现为吞咽疼痛和发热。在通过初步气管切开术确保气道安全后,于全身麻醉下进行脓肿切开引流之前,采用肠胃外抗生素进行的初始治疗效果不佳。文中强调了由于成人呈现出不同的症状表现而导致的诊断困难。同时讨论了诊断检查方法和治疗选择。