Two Cases of Epiglottic Abscess Caused by Gas-Forming Bacteria

DOI Web Site Web Site 1 References

Bibliographic Information

Other Title
  • ガス産生喉頭蓋膿瘍の2例
  • 臨床 ガス産生喉頭蓋膿瘍の2例
  • リンショウ ガス サンセイ コウトウブタ ノウヨウ ノ 2レイ

Search this article

Abstract

<p>Epiglottic abscess is one of the complications of acute epiglottitis. It can cause airway obstruction and require emergency attention. Epiglottic abscess is very rarely caused by gas-forming bacteria, but herein, we report two cases of epiglottic abscess caused by gas-forming bacteria. In the first case, a 66-year-old woman presented with a one-week history of slight sore throat. Fiberoptic laryngoscopy revealed epiglottic swelling in the shape of a heart and CT showed gas in the epiglottis. Antibiotics were administered, however, the laryngeal swelling progressed and tracheostomy was performed. The abscess then resolved, and the patient was discharged from the hospital on the twelfth hospital day. In the second case, a 43-year-old man presented with a history of severe dyspnea and sore throat, and he also suffered from orthopnea. CT showed the presence of much gas in the epiglottis and arytenoid region, fiberoptic laryngoscopy revealed severe laryngeal swelling and tracheostomy was performed immediately; however, the patient went into cardiac arrest before tracheal fenestration. Cardiac resuscitation restored the heartbeat and tracheostomy was performed, however, the patient died on the twenty-first hospital day. Both cases needed tracheostomy; this case report serves to underscore the need to bear in mind the possibility of invasive airway access while managing cases of gas-forming epiglottic abscess.</p>

Journal

References(1)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top