A case report of emphysematous epiglottis abscess successfully treated withearly drainage

DOI
  • Ako Yoshiaki
    Department of Emergency and Critical Care Medicine, St. Luke’s International Hospital
  • Horie Katsuhiro
    Department of Emergency and Critical Care Medicine, St. Luke’s International Hospital
  • Shin Kijong
    Department of Emergency and Critical Care Medicine, St. Luke’s International Hospital
  • Isokawa Shutaro
    Department of Emergency and Critical Care Medicine, St. Luke’s International Hospital
  • Hifumi Toru
    Department of Emergency and Critical Care Medicine, St. Luke’s International Hospital
  • Otani Norio
    Department of Emergency and Critical Care Medicine, St. Luke’s International Hospital

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Other Title
  • 気腫性喉頭蓋膿瘍の診断・切開排膿により, 良好な治療経過を得た1例

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Abstract

<p>A 44-year-old man presented to the emergency department with a sore throat from the previous night. He had no medical history or smoking history. Laryngoscopy revealed swelling on the left side of the epiglottis. The next day, contrast-enhanced CT showed an abscess cavity with emphysema. After tracheal intubation, incisional drainage was performed. The patient was extubated the day after surgery and discharged without complications on the 8th day. Imaging studies should be considered when epiglottis abscess is suspected, and if emphysema is present, a prompt incision and drainage procedure is recommended.</p>

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