Lahoz Zamarro M T, Galve Royo A, Cámara F, Valero J
Hospital Obispo Polanco, Teruel.
Acta Otorrinolaringol Esp. 1996 Nov-Dec;47(6):491-4.
Epiglottitis is a well-defined syndrome caused by Haemophilus influenzae type B in children. It also may affect adults and has an unpredictable clinical course, sometimes complicated with airway obstruction. Two cases of adult epiglottitis are reported. The first responded favorably to medical treatment and the second required emergency airway surgery. Indicators of poor prognosis are described. Epiglottitis should be considered in the differential diagnosis as a potentially lethal cause of sore throat.
会厌炎是由B型流感嗜血杆菌引起的一种在儿童中表现明确的综合征。它也可能影响成人,且临床病程不可预测,有时会并发气道阻塞。本文报告了两例成人会厌炎病例。第一例经药物治疗后预后良好,第二例则需要进行紧急气道手术。文中还描述了预后不良的指标。在鉴别诊断中,应将会厌炎视为咽痛的一个潜在致命原因。