MEDizzy
MEDizzy
DR.MOHAMMED IRFAN SHEIKH
DR.MOHAMMED IRFAN SHEIKHabout 5 years ago
Epiglottitis in an Adult

Epiglottitis in an Adult

A previously healthy 65-year-old woman presented to the emergency department with a 7-day history of throat pain, difficulty swallowing, muffled voice, and subjective fevers. On presentation, she was afebrile and hemodynamically stable with normal oxygen saturation (blood pressure, 140/86 mm Hg; oxygen saturation, 98% while the patient was breathing ambient air). Physical examination revealed mild tenderness and swelling in the anterior neck, without cervical lymphadenopathy or drooling. Lateral soft-tissue radiography of the neck showed the โ€œthumb signโ€ (Panel A, arrow), indicating a swollen epiglottis, suggestive of epiglottitis. Computed tomography of the neck revealed substantial swelling and edema of the epiglottis (Panel B, arrow), the base of the tongue, and the lingual tonsil. Indirect laryngoscopy revealed erythema and inflammation of the epiglottis and the base of the tongue, with clinically significant hypertrophy of the lingual tonsil and phlegm in the throat. Ceftriaxone and dexamethasone were initiated, owing to the risk of airway compromise. The patient was monitored closely in the hospital for 48 hours. Blood cultures remained negative. The patientโ€™s symptoms improved, and within 3 days after presentation, she was able to consume an oral diet. She was discharged home to complete 1 additional week of antimicrobial treatment with oral cefuroxime.

6
Other commentsSign in to post comments. You don't have an account? Sign up now!
Related posts
โ€Œ
HypocalcemiaMarfan syndromePhenylketonuriaWilson's diseaseNeimann picks diseaseSymptoms of neimann pick diseaseThe 29th World Congress on Nutrition and Food Sciences, held on September 15-16, 2025, in Amsterdam, Netherlands, was a landmark event in the fields of nutrition and food sciences. This congress gathered leading experts, researchers, policymakers, and practitioners from across the globe, providing a vibrant platform for the exchange of ground breaking research, innovative ideas, and best practices in nutrition and food science. With a focus on tackling contemporary challenges in health and nutrition, the congress covered a wide range of topics, from the latest advancements in nutritional science to strategies for promoting sustainable food systems and preventing chronic diseases. Attendees engaged in thought-provoking discussions, participated in interactive workshops, and had ample opportunities to network with peers across diverse disciplines. Theme: Nutrition for a Resilient World: Advances, Challenges and OpportunitiesKolkata's Best Medicine Wholesalers Jaiswal Pharma At Jaiswal Pharma, we take pride in our unwavering commitment to quality. Our extensive range of products includes both prescription and over-the-counter medications, ensuring you receive only the finest pharmaceutical products. Our diverse inventory is designed to meet the needs of various healthcare professionals, pharmacies, and medical organizations. Whether you require medication for a common ailment or treatment for a rare condition, we have you covered. We understand the importance of affordability in healthcare. Jaiswal Pharma offers competitive prices, ensuring you get the best value for your money. For those in Kolkata seeking reliable pharmaceutical products, we are your top choice. ๐•๐ข๐ฌ๐ข๐ญ ๐จ๐ฎ๐ซ ๐œ๐จ๐ฆ๐ฉ๐š๐ง๐ฒ ๐ฐ๐ž๐›๐ฌ๐ข๐ญ๐ž ๐ญ๐จ ๐ค๐ง๐จ๐ฐ ๐ฆ๐จ๐ซ๐ž www.jaiswalpharma.comWhat is a cracked tooth?

Recent MCQs

โ€Œ
โ€Œ

โ€Œ
โ€Œ

โ€Œ
โ€Œ

โ€Œ
โ€Œ

โ€Œ
โ€Œ
Show more MCQs

Recent flashcard sets

โ€Œ
โ€Œ

โ€Œ
โ€Œ

โ€Œ
โ€Œ

โ€Œ
โ€Œ

โ€Œ
โ€Œ
Show more flashcards