Retrospective study of acute epiglottitis in Cantabria in the period 1992-2015
Abstract Introduction and objective: Acute epiglottitis is an inflammation of the epiglottis and other adjacent structures that can produce severe obstruction of the airway. Our objective is to know the clinical-epidemiological characteristics of acute epiglottitis in a Region of the north of Spain. Method: Retrospective descriptive study of all patients diagnosed with acute epiglottitis from January 1992 to April 2015 in the Region of Cantabria (Spain). Results: Fifty patients were included in our study, aged between 1 and 80 years, of whom 40 were men and 10 were women. Only one of them was a pediatric patient. 2.7 cases / year were diagnosed, with an incidence of 0.5 cases per 100000 habitants per year. Two patients had Down syndrome. The main symptom was odynophagia (88%) followed by dyspnea (56%) and voice alteration (52%). Nine patients required a stay in Intensive Care. Four patients required orotracheal intubation; five needed an emergency tracheotomy. Seven patients had serious complications, one of them with severe neurological damage. None of them died because of epiglottitis. Conclusions: Acute epiglottitis is a rare but serious disease and, therefore, requires early treatment to avoid complications. We have observed an almost total disappearance of epiglottitis in pediatric patients in our region, which is explained by the introduction in the vaccination calendar of immunization against Haemophilus influenzae.
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Angirekula V, Multani A. Epiglottits in an adult. N Engl J Med 2015;372:e20.
https://doi.org/10.1056/NEJMicm1400061 - PMid:25853768
Briem B, Thorvardsson O, Petersen H. Acute epiglotitis in Iceland 1983-2005. Auris Nasus Larynx 2009;36:46-52. https://doi.org/10.1016/j.anl.2008.03.012 - PMid:18502071
Guldfred L, Lyhne D, Becke, B. Acute epiglotitis: Epidemiology, clinical presentation, management and outcome. J Laryngol Otol. 2008;122(8):818-23. https://doi.org/10.1017/S0022215107000473 - PMid:17892608
Imataka G, Mitsui M, Mitsui N, Hirabayashi H, Yamanouchi H and Eguchi M. Down syndrome with acute epiglotitis. Pediatr Int. 2005;47:333-5. https://doi.org/10.1111/j.1442-200x.2005.02069.x - PMid:15910462
Pino Rivero V, González Palomino A, Pantoja Hernández CG, Mora Santos ME, Gil Calero M, Rodríguez Carmona M, et al. Epiglotitis aguda en adultos. Nuestra experiencia. Acta Otorrinolaringol Esp. 2007;58(6):263-5. https://doi.org/10.1016/S2173-5735(07)70346-0 - https://doi.org/10.1016/S0001-6519(07)74924-5
Qazi I M, Jafar A M, Hadi KA, Hussain Z. Acute epiglottitis: a retrospective review of 47 patients in Kuwait. Indian J Otolaryngol Head Neck Surg. 2009;61: 301-5. https://doi.org/10.1007/s12070-009-0087-4 - PMid:23120655 PMCid:PMC3450074
Sakar S, Roychoudhury A, Roychoudhury B K. Acute epiglotitis in adults – a recent review in an Indian Hospital. Indian J Otolaryngol Head and Neck Surg. 2009;61:197-9. https://doi.org/10.1007/s12070-009-0065-x - PMid:23120634 PMCid:PMC3449988
Shah RK, Roberson DW, Jones DT. Epiglottitis in the Hemophilus Influenzae Type B Vaccine Era: Changing Trends. Laryngoscope 2004;114:557-60. https://doi.org/10.1097/00005537-200403000-00031 - PMid:15091234
https://doi.org/10.1056/NEJMicm1400061 - PMid:25853768
Briem B, Thorvardsson O, Petersen H. Acute epiglotitis in Iceland 1983-2005. Auris Nasus Larynx 2009;36:46-52. https://doi.org/10.1016/j.anl.2008.03.012 - PMid:18502071
Guldfred L, Lyhne D, Becke, B. Acute epiglotitis: Epidemiology, clinical presentation, management and outcome. J Laryngol Otol. 2008;122(8):818-23. https://doi.org/10.1017/S0022215107000473 - PMid:17892608
Imataka G, Mitsui M, Mitsui N, Hirabayashi H, Yamanouchi H and Eguchi M. Down syndrome with acute epiglotitis. Pediatr Int. 2005;47:333-5. https://doi.org/10.1111/j.1442-200x.2005.02069.x - PMid:15910462
Pino Rivero V, González Palomino A, Pantoja Hernández CG, Mora Santos ME, Gil Calero M, Rodríguez Carmona M, et al. Epiglotitis aguda en adultos. Nuestra experiencia. Acta Otorrinolaringol Esp. 2007;58(6):263-5. https://doi.org/10.1016/S2173-5735(07)70346-0 - https://doi.org/10.1016/S0001-6519(07)74924-5
Qazi I M, Jafar A M, Hadi KA, Hussain Z. Acute epiglottitis: a retrospective review of 47 patients in Kuwait. Indian J Otolaryngol Head Neck Surg. 2009;61: 301-5. https://doi.org/10.1007/s12070-009-0087-4 - PMid:23120655 PMCid:PMC3450074
Sakar S, Roychoudhury A, Roychoudhury B K. Acute epiglotitis in adults – a recent review in an Indian Hospital. Indian J Otolaryngol Head and Neck Surg. 2009;61:197-9. https://doi.org/10.1007/s12070-009-0065-x - PMid:23120634 PMCid:PMC3449988
Shah RK, Roberson DW, Jones DT. Epiglottitis in the Hemophilus Influenzae Type B Vaccine Era: Changing Trends. Laryngoscope 2004;114:557-60. https://doi.org/10.1097/00005537-200403000-00031 - PMid:15091234
Castañeda-Curto, N., Gil-Aguilar, M. T., Viana-Cora, A., & Morales-Angulo, C. (2018). Retrospective study of acute epiglottitis in Cantabria in the period 1992-2015. Revista ORL, 9(1), 19–23. https://doi.org/10.14201/orl.17346
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