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Supraglottitis and abscess formation

Published online by Cambridge University Press:  21 September 2010

D Gillett  and
N J Eynon-Lewis
D Gillett*
Affiliation:
Department of Otolaryngology, Homerton University Hospital, London, UK
N J Eynon-Lewis
Affiliation:
Department of Otolaryngology, St Bartholomew's Hospital, London, UK
*
Address for correspondence: Mr Darren Gillett, Drake Cottage, 1 George Walk, Ware SG12 9AR, UK E-mail: [email protected]
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Abstract

Objective:

This case series report aims to raise awareness of the association between supraglottic infection and abscess formation, which has been rarely documented.

Method:

We report a series of four patients who developed cervical abscesses following supraglottic infection. The diagnosis was confirmed by imaging in three patients, and by incision and drainage of pus at direct laryngoscopy in one.

Results:

All four patients were treated with intravenous antibiotics, steroids and humidification; two also underwent surgical drainage of pus. All made an uneventful recovery.

Conclusion:

The factors that lead to neck abscess formation are poorly understood. Physicians should always be aware of this potential complication. If it is suspected, appropriate neck imaging should be undertaken, after excluding airway copromise; this will aid early diagnosis and treatment.

Keywords

PharynxNeckPharyngitisAbscessEpiglottis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 1 , January 2011 , pp. 99 - 102
Copyright
Copyright © JLO (1984) Limited 2010

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References

1 Rothcock, SG, Pignatiello, GA, Howard, RM. Diagnosis of supraglottitis: objective criteria for all ages. Ann Emerg Med 1990;19:978–82CrossRefGoogle Scholar
2 Brown, JM. Acute infections of the epiglottis. Arch Otolaryngol Head Neck Surg 1940;32:631–41CrossRefGoogle Scholar
3 Carenfelt, C, Sobin, A. Acute infectious epiglottitis in children and adults: annual incidence and mortality. Clin Otolaryngol 1989;14:489–93CrossRefGoogle ScholarPubMed
4 Murphy, TV, White, KE, Pastar, R, Gabriel, L, Medley, F, Granoff, A. Declining incidence of Hib disease since introduction of vaccination. JAMA 1993;269:246–8CrossRefGoogle Scholar
5 Tokala, AK, Petola, H, Eskola, J. Disappearance of epiglottitis during large scale vaccination with Hib conjugate vaccine among children in Finland. Laryngoscope 1994;104:731–5CrossRefGoogle Scholar
6 Hickerson, SL, Kirby, RS, Wheeler, JG, Schutze, GE. Epiglottitis: a 9-year case review. South Med J 1996;89:487–90CrossRefGoogle ScholarPubMed
7 Hafidh, MA, Sheahan, P, Keogh, I, McConn Walsh, R. Acute epiglottitis in adults: a recent experience with 10 cases. J Laryngol Otol 2006;120:310–13CrossRefGoogle ScholarPubMed
8 Parsons, DS, Smith, RB, Mair, EA, Dlabal, LJ. Unique case presentations of acute epiglottic swelling and a protocol for acute airway compromise. Laryngoscope 1996;106:1287–92CrossRefGoogle Scholar
9 Donnelly, TJ, Crausman, RS. Acute supraglottitis: when a sore throat becomes severe. Geriatrics 1997;53:65–9Google Scholar
10 Wang, LF, Kuo, WR, Tsai, SM, Huang, KJ. Characterization of life-threatening deep cervical space infections: a review of one hundred ninety-six cases. Am J Otolaryngol 2003;24:111–17CrossRefGoogle ScholarPubMed
11 Smith, MM, Mukherji, SK, Thompson, JE, Castello, M. CT in adult supraglottitis. AJNR Am J Neuroradiol 1996;17:1355–8Google ScholarPubMed
12 Sichel, JY, Attal, P, Hocwald, E, Eliashar, R. Redefining parapharyngeal space infections. Ann Otol Rhinol Laryngol 2006;115:117–23CrossRefGoogle ScholarPubMed
13 Ossoff, RH, Wolf, AP, Ballenger, JJ. Acute epiglottitis in adults: experience with 15 cases. Laryngoscope 1980;90:1155–61CrossRefGoogle Scholar
14 Smith, TL, McQueen, CT, Henrich, D, Holmes, DK. Adult supraglottitis. ENT Journal 1995;74:258–60Google ScholarPubMed
15 Frantz, TD, Rasgon, BM, Quesenberry, CP. Acute epiglottitis in adults: analysis of 129 cases. JAMA 1994;272:1358–60CrossRefGoogle ScholarPubMed
16 Mayo Smith, MF, Hirsh, PJ, Wodzinski, SF, Schiffman, FJ. Acute epiglottitis in adults: an eight year experience in the state of Rhode Island. N Engl J Med 1986;314:1133–9CrossRefGoogle ScholarPubMed
17 Tanner, K, Fitzsimmons, G, Carrol, ED, Clark, JE. Haemophilus influenza type b epiglottitis as a cause of acute upper airway obstruction in children. BMJ 2002;325:1099–100CrossRefGoogle ScholarPubMed
18 Shah, RK, Roberson, DW, Jones, DT. Epiglottitis in the Haemophilus influenza type b vaccination era: changing trends. Laryngoscope 2004;114:557–60CrossRefGoogle ScholarPubMed
19 Shih, L, Hawkins, BD, Stanley, RB. Acute epiglottitis in adults: a review of 48 cases. Ann Otol Rhinol Laryngol 1998;97:527–9CrossRefGoogle Scholar
20 Sichel, JY, Dano, I, Hocwald, E, Biron, A, Elishar, R. Non-surgical management of parapharyngeal space infections: a prospective study. Laryngoscope 2002;112:906–10CrossRefGoogle Scholar