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American journal of otolaryngology · 2018

Necrotizing epiglottitis treated with early surgical debridement: A case report.

Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Richardson Clare, Muthukrishnan Prashanth Thalanayar, Hamill Chelsea, Krishnan Vidya, Johnson Freedom

Аннотация

OBJECTIVE: Necrotizing supraglottitis is a rare but potentially morbid infection most often seen in immunocompromised patients. All reported cases have utilized intravenous antibiotic therapy as the mainstay of treatment and many have had associated morbidities.

METHODS: We describe a case of a 50-year-old previously healthy female who presented with necrotizing epiglottis and was treated with immediate surgical debridement followed by directed antibiotic therapy.

RESULTS: Our patient rapidly recovered with no further invasive interventions. On follow up she had no further complications or functional deficits.

CONCLUSIONS: Although uncommon, providers should be aware of the potential benefits of early debridement when treating patients with similar pathology. Early surgical intervention should be considered to avoid local tissue loss, airway interventions, and long-term sequelae.

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