Epiglottitis in young infants

Epiglottitis occurs most frequently in children 2-7 yr old, but is occasionally seen in adults. The authors have treated 14 cases of acute epiglottitis in patients less than 2 yr old, the youngest being only 7 months of age. The clinical features of the disease in infants were more variable than tho...

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Bibliographic Details
Published in:Anesthesiology (Philadelphia) 1987-07, Vol.67 (1), p.97-100
Main Authors: BLACKSTOCK, D, ADDERLEY, R. J, STEWARD, D. J
Format: Article
Language:English
Subjects:
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Diagnosis, Differential
Emergency and intensive care: neonates and children. Prematurity. Sudden death
Epiglottitis - diagnosis
Epiglottitis - diagnostic imaging
Epiglottitis - pathology
Epiglottitis - physiopathology
Hemophilus influenzae
Humans
Infant
Intensive care medicine
Laryngitis - diagnosis
Male
Medical sciences
Radiography
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Description
Summary:Epiglottitis occurs most frequently in children 2-7 yr old, but is occasionally seen in adults. The authors have treated 14 cases of acute epiglottitis in patients less than 2 yr old, the youngest being only 7 months of age. The clinical features of the disease in infants were more variable than those the older children, and the diagnosis was not immediately obvious. Supraglottitis has been used to describe the bacterial infaction involving the supraglottic structures, including the epiglottis, arytenoids, aryepiglottic folds, and uvula, and may be more appropriate. In two patients, there were radiological evidence of edema involving the larynx and trachea, as well as the supraglottic structures. three cases are reported to illustrate the atypical presentation of epiglottitis in the young infants.
ISSN:0003-3022
1528-1175
DOI:10.1097/00000542-198707000-00018