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Case Report: Acute Supraglottitis

Jamie Robin Chu, MD* and Jonathan G Rogg, MD, MBA^

*Department of Pediatrics-Emergency Medicine, Baylor College of Medicine, Houston, TX
^Department of Emergency Medicine, McGovern Medical School, Houston, TX

Correspondence should be addressed to Jamie Robin Chu, MD at jc31@bcm.edu

DOI: https://doi.org/10.21980/J8006V Issue 5:1
ENTInfectious DiseaseVisual EM
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ABSTRACT:

This report illustrates a case of acute supraglottitis, a rare condition that can be easily diagnosed, but can quickly be deadly if missed. The patient presented with a sore throat and unilateral neck swelling that progressed to voice changes and difficulty handling secretions. Initially, radiographs were obtained followed by computed tomography. Imaging raised concern for supraglottitis; therefore otolaryngology consult was obtained and flexible laryngoscopy confirmed the diagnosis. The patient received a prophylactic awake fiberoptic intubation at the bedside and was started on intravenous antibiotics and steroids. She quickly improved and is expected to make a full recovery. Trainees and current practicing physicians in today’s post-Haemophilus influenza type b vaccination period rarely encounter epiglottitis or supraglottitis. This case reminds us to keep this uncommon but quickly progressive and dangerous condition in mind to avoid a missed diagnosis which can lead to significant morbidity and mortality.

Topics:

Supraglottitis, acute supraglottitis, adult, intubation, antibiotic, microbiology.

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