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Case of emphysematous epiglottitis in an adult
Epiglottitis is an emergency as it can potentially cause airway compromise especially in children who have smaller airways #neurotwitter #ent #peds #Neurosurgery #MedTwitter #MedEd @ASHNRSociety
Epiglottitis is an emergency as it can potentially cause airway compromise especially in children who have smaller airways #neurotwitter #ent #peds #Neurosurgery #MedTwitter #MedEd @ASHNRSociety
▶️In children the diagnosis can be confirmed with upright plain film. CT requires placing the patient supine which may exacerbate inspiratory strider
▶️In adults, the diagnosis may not be suspected clinically so patients may end up with a CT scan as in this case
▶️In adults, the diagnosis may not be suspected clinically so patients may end up with a CT scan as in this case
▶️Bacterial infection typically 2/2 H. Influenza in unvaccinated children
▶️In adults, possible pathogens include Strep, Staph, and H. influ
▶️In adults, possible pathogens include Strep, Staph, and H. influ
▶️CT shows emphysematous swelling of the epiglottis and marked thickening of the aryepiglottic folds (arrows 2nd image). The aryepiglottic folds delineate the anteromedial borders of the pyriform sinus
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