Gunchenko Melissa, Abboud Mohammad, Risler Zachary W, Gibbons Ryan C
Lewis Katz School of Medicine at Temple University, Department of Emergency Medicine, Philadelphia, Pennsylvania.
Nazareth Hospital, Department of Emergency Medicine, Philadelphia, Pennsylvania.
Clin Pract Cases Emerg Med. 2023 Aug;7(3):158-160. doi: 10.5811/cpcem.1581.
Acute epiglottis is a rapidly progressive, potentially life-threatening infection causing inflammation of the epiglottis and adjacent supraglottic structures.- Since the introduction of the Haemophilus influenzae vaccine, the incidence of pediatric cases has decreased dramatically while adult instances have increased. Likewise, the etiology has changed considerably with the increasing prevalence of other causative bacterial and viral pathogens.
We present a novel case of acute epiglottis secondary to infection with the severe acute respiratory syndrome coronavirus 2. This case report highlights the changing landscape of epiglottitis and the importance of airway assessment.
Present-day epiglottitis differs greatly from our traditional understanding. Numerous etiologies beyond Haemophilus influenzae now afflict adults predominately. As a clinically significant, novel complication of coronavirus disease 2019, acute epiglottitis is a life-threatening airway emergency. Emergency physicians must maintain a high index of suspicion, especially given the evolving clinical landscape. Early airway assessment with nasopharyngolaryngoscopic is critical.
急性会厌炎是一种进展迅速、可能危及生命的感染，可导致会厌及相邻声门上结构的炎症。自流感嗜血杆菌疫苗问世以来，儿科病例的发病率大幅下降，而成人病例有所增加。同样，随着其他致病细菌和病毒病原体的患病率上升，病因也发生了很大变化。
我们报告一例由严重急性呼吸综合征冠状病毒2感染继发的急性会厌炎新病例。本病例报告突出了会厌炎不断变化的情况以及气道评估的重要性。
当今的会厌炎与我们的传统认知有很大不同。现在，除流感嗜血杆菌外，多种病因主要困扰成年人。作为2019冠状病毒病临床上显著的新型并发症，急性会厌炎是一种危及生命的气道急症。急诊医生必须保持高度的怀疑指数，尤其是考虑到不断变化的临床情况。早期通过鼻咽喉镜进行气道评估至关重要。
