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  1. Article: Acute epiglottitis after COVID-19 infection.

    Renner, Andreas / Lamminmäki, Satu / Ilmarinen, Taru / Khawaja, Tamim / Paajanen, Juuso

    Clinical case reports

    2021  Volume 9, Issue 7, Page(s) e04419

    Abstract: In patients with acute epiglottitis, the possibility of COVID-19 should be ruled out. Repeated ...

    Abstract In patients with acute epiglottitis, the possibility of COVID-19 should be ruled out. Repeated nasofiberoscopy examinations or a tracheostomy, which may produce infectious aerosols, may be required.
    Language English
    Publishing date 2021-07-10
    Publishing country England
    Document type Case Reports
    ZDB-ID 2740234-4
    ISSN 2050-0904
    ISSN 2050-0904
    DOI 10.1002/ccr3.4419
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Acute epiglottitis after COVID‐19 infection

    Andreas Renner / Satu Lamminmäki / Taru Ilmarinen / Tamim Khawaja / Juuso Paajanen

    Clinical Case Reports, Vol 9, Iss 7, Pp n/a-n/a (2021)

    2021  

    Abstract: Abstract In patients with acute epiglottitis, the possibility of COVID‐19 should be ruled out ...

    Abstract Abstract In patients with acute epiglottitis, the possibility of COVID‐19 should be ruled out. Repeated nasofiberoscopy examinations or a tracheostomy, which may produce infectious aerosols, may be required.
    Keywords case report ; COVID‐19 ; epiglottitis ; PPE measures ; surgical tracheostomy ; Medicine ; R ; Medicine (General) ; R5-920
    Language English
    Publishing date 2021-07-01T00:00:00Z
    Publisher Wiley
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: Vaping-induced acute epiglottitis: a case report.

    Khorrami, Amir / Khorrami, Mohammad Ali / Gheriani, Heitham

    International journal of emergency medicine

    2023  Volume 16, Issue 1, Page(s) 56

    Abstract: ... epiglottitis. Throat and nasal swabs were negative for streptococcus and COVID-19 infection, respectively ... 2020). Here we present a case of acute epiglottitis in a healthy young adult after vaping ... research on the adverse effects of vaping on the upper airway. Acute epiglottitis is a potentially life ...

    Abstract Background: E-cigarette use, or vaping, is an alternative nicotine delivery system that is becoming increasingly prevalent in adolescents and young adults. There is currently a lack of comprehensive research on the adverse effects of vaping on the upper airway. Acute epiglottitis is a potentially life-threatening condition that can lead to airway obstruction. It is commonly caused by bacterial infections such as streptococci, staphylococcus, and Moraxella. Adult patients with acute epiglottitis mainly present with odynophagia, dysphagia, and respiratory difficulties. The diagnosis of epiglottitis is made by direct laryngoscopy, and the mainstay of treatment is antibiotics. Bozella et al. (2020) reported a case of subacute non-infectious epiglottitis associated with e-cigarette use in a pediatric patient (Pediatrics 145(3), 2020). Here we present a case of acute epiglottitis in a healthy young adult after vaping, with a negative infectious workup. To our knowledge, there has been no such reported case of epiglottitis associated with e-cigarette use in an adult patient.
    Case description: A previously healthy 29-year-old male with daily e-cigarette use presented to the emergency department with a severe sore throat, dysphagia, mild hoarseness, and shortness of breath, especially when lying supine. A lateral neck soft tissue radiograph revealed a thickened epiglottis with a thumb sign. Direct bedside laryngoscopy showed a swollen epiglottis, partially obstructing the supraglottic region confirming the diagnosis of acute epiglottitis. Throat and nasal swabs were negative for streptococcus and COVID-19 infection, respectively. The patient's condition improved significantly after receiving intravenous Dexamethasone and antibiotics for 2 days. Repeat laryngoscopy showed the resolution of epiglottis swelling, and subjective symptoms had resolved entirely 2 weeks following the start of the treatment.
    Conclusions: Although bacterial infections usually cause acute epiglottitis, this case presents the second report of this condition associated with vaping with negative microbiological investigations. Therefore, we recommend that physicians consider non-infectious causes such as vaping in their differential diagnosis for patients with acute and subacute epiglottitis. More research is warranted on the utility of antibiotics in treating vaping-induced epiglottitis.
    Language English
    Publishing date 2023-09-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 2411462-5
    ISSN 1865-1380 ; 1865-1372
    ISSN (online) 1865-1380
    ISSN 1865-1372
    DOI 10.1186/s12245-023-00532-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: COVID-19 presenting as acute epiglottitis: A case report and literature review.

    Iwamoto, Shusuke / Sato, Mitsuo P / Hoshi, Yujiro / Otsuki, Naoki / Doi, Katsumi

    Auris, nasus, larynx

    2021  Volume 50, Issue 1, Page(s) 165–168

    Abstract: ... male with acute epiglottitis likely caused by COVID-19. On presentation, chest computed tomography (CT ... Coronavirus disease 2019 (COVID-19) occasionally causes acute laryngitis, requiring ... discharged on the 35th day of hospitalization. Six previous case reports of COVID-19-induced acute ...

    Abstract Coronavirus disease 2019 (COVID-19) occasionally causes acute laryngitis, requiring emergency treatment. Understanding the characteristic laryngeal findings can help diagnose COVID-19 earlier, prevent worsening infection, and properly manage airway obstruction. Herein, we report the case of a 44-year-old male with acute epiglottitis likely caused by COVID-19. On presentation, chest computed tomography (CT) showed no signs of pneumonia. However, the larynx had extensive necrotic-like erosive lesions resembling those of tuberculous laryngitis. COVID-19 was diagnosed by reverse-transcription polymerase chain reaction, and secondary bacterial superinfections were suspected after blood testing. The symptoms improved after administration of antibiotics (sulbactam sodium/ampicillin sodium), steroids (dexamethasone), and favipiravir. The patient developed a high fever on the sixth day of hospitalization, and pneumonia was identified on CT. Various culture tests, including tuberculosis, were negative. Thus, remdesivir was administered for COVID-19-induced pneumonia. The patient gradually recovered, was transferred to another hospital, and was discharged on the 35th day of hospitalization. Six previous case reports of COVID-19-induced acute epiglottitis suggested that acute epiglottitis preceded the onset of pneumonia. The laryngeal findings from this report may be useful for diagnosing COVID-19 that does not cause pneumonia and for bringing attention to pneumonia after a COVID-19 diagnosis.
    MeSH term(s) Male ; Humans ; Adult ; Epiglottitis/diagnosis ; Epiglottitis/drug therapy ; COVID-19/complications ; COVID-19/diagnosis ; Laryngitis/diagnosis ; COVID-19 Testing ; Acute Disease ; Pneumonia
    Language English
    Publishing date 2021-12-18
    Publishing country Netherlands
    Document type Review ; Case Reports
    ZDB-ID 604552-2
    ISSN 1879-1476 ; 0385-8146
    ISSN (online) 1879-1476
    ISSN 0385-8146
    DOI 10.1016/j.anl.2021.12.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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