Epiglotitis

A total of 16 isolates of Streptococcus pneumoniae and 18 isolates of Haemophilus influenzae were obtained from the blood of children admitted to the pediatric wards of hospitals in Hokkaido Kamikawa subprefecture between January 2003 and December 2005. The ages of the patients with S. pneumoniae or H. influenzae infection ranged from 2 months to 9 years and from 1 month to 4 years, respectively. The diagnoses of S. pneumoniae infection were as follows: pneumonia in 8 patients, occult bacteremia in 5 patients, and meningitis in 3 patients...

OBJECTIVE: To investigate the causes and management of laryngostenosis in clinical stage I, II laryngeal cancer patients after decannulation. METHOD: The causes of seventeen cases laryngostenosis after decannulation were analyzed and various operations were carried out according to the causes. Two cases were treated by laser through fibrolarnygoscope, granulation tissue in laryngeal cavity were resected by selfretcuining laryngoscope in two patients. The laryngeal cavity scar was removed and the epiglotic flap, bi-pedicled myoperichondral flap, platysma myocutaneous flap were utilized to reconstruct the laryngeal functions in ten patients...

No abstract text is available yet for this article.

OBJECTIVE: To investigate the relationship between anatomic characteristics of lingual artery and midline glossectomy, for the purpose of increasing operative safety. METHODS: (1) 16 extraoral dissections of the submandibular region were performed on 8 human cadavers and to observe the origin and distribution of lingual artery. (3) The lingual artery was divided into three segments, and the length and adjacent organs were observed and measured. RESULTS: The whole length of lingual artery was (92...

We report two cases of spontaneous anteromedial temporo-sphenoidal meningo-encephalocele. The first patient was a 67-year-old man with a history of treated epiglotic cancer 6 years ago, was referred to us for CSF rhinorrhea. Lateral sphenoidal CSF fistula was confirmed by CT cisternography. Four lumbar taps were performed and rhinorrhea stopped for 2 years. At relapse of rhinorrhea, the patient was operated on via a subtemporal approach. The dural defect was filled by an intradural patch of pericranium. Four years later patient showed no evidence of cerebrospinal fluid leakage...

BACKGROUND: Bacterial tracheitis is an uncommon, but serious cause of acute respiratory distress in children. The incidence is not known. MATERIAL AND METHODS: The medical records of four children with bacterial tracheitis treated in our hospital are presented, and the literature reviewed to describe symptoms, diagnosis and treatment. A questionnaire was sent to all pediatric departments in Norway to assess the incidence of bacterial tracheitis and epiglotitis during the 1994-98 period...

The authors showed the case of purulent epiglotitis complicated the neck and mediastine phlegmone with septic shock.

OBJECTIVE: The purpose of this study was to know the etiology, clinical background, treatment an evolution of severe infectious diseases in children admitted to Pediatric Intensive Care Units (PICUs). PATIENTS AND METHODS: A multicenter prospective study was carried out. Children with respiratory infections admitted to 10 PICUs throughout Spain between May 1994 and April 1995 were included in a long term survey. The nosocomial infections were not included. Student's t and Wilcoxon tests were used for quantitative variables and Chi square with Yates correction and Fisher's test for the qualitative variables...

Despite the success of Haemophilus influenzae type b vaccines in preventing bacterial disease in children, H influenzae remains a common pathogen in adult patients in the United States and Europe. At least half of invasive H influenzae infections are caused by nontypable strains. The spectrum of diseases includes sinusitis, pneumonia, otitis media, epiglotitis, and meningitis. An etiologic diagnosis is most reliably established by positive cultures from a normally sterile site. Although resistance to ampicillin and amoxicillin has steadily increased in clinical H influenzae isolates during the past two decades, a variety of other antimicrobial agents are available for the treatment of infections caused by this bacterium...

In children, the signs and symptoms of serious infection often mimic those observed with minor, self-limiting diseases. One of the most important steps in making a diagnosis of an infection of the central nervous system is to suspect that an infection may be present. Acute epiglotitis predominantly affects children 2 to 7 years of age; delays in its diagnosis or treatment may result in death within a matter of hours. Pharmacists should be aware of the signs and symptoms of child abuse and neglect and understand the reporting procedures and requirements...

Fifty-two children hospitalized in the Pediatric service of a general hospital between January 1978 and December 1979 were found to be infected with Haemophilus influenzae or para-influenzae (43 with H. influenzae and 9 with para-influenzae). Most of these children (34/52) were less than 4 years of age. The localizations of infections were as follow: 5 meningitis with satisfactory resolution except for 1 who developed slight deafness, 1 epiglotitis, 11 pneumonias or bronchopneumonias, 1 arthritis, 10 otitis medias, 6 conjunctivitis, 3 sinusitis, 10 upper airway infections and 1 neonatal infection...

No abstract text is available yet for this article.

No abstract text is available yet for this article.

Continuous monitoring of distal oesophageal pH and oesophagoscopy were performed in 28 children aged 15 days to 12 years (mean: 14 months) intubated and ventilated for bronchiolitis (7), pneumonia (8), epiglotitis (2), neurological distress (8), whooping cough (2) or recurrent apneic spells (1). Esophageal pH was studied 2-8 days (mean: 2 days) after intubation; its duration was 12-23 h 50 min (M: 22 h). An abnormal gastroesophageal reflux was presumed when the percent of total monitoring time during which the esophageal pH fell below 4...

A patient presenting to the emergency department with simultaneous parotitis and epiglottitis is described. She underwent emergency airway intervention within 3 hours of presentation. This is the first case of simultaneous parotitis and epiglotitis. Diagnostic symptoms are discussed.

We analyze 13 children between 1 and 3 years old (mean: 24.6 +/- 6.5 months), who were diagnosed (by direct or radiological examination) of epiglottitis. Seven were male. All of them had fever and respiratory distress. Six blood cultures (46%) were positive for Hemophilus Influenzae, and in 5 cases were resistant to beta-lactamases. Diagnose was made by radiology (70%) or by direct examination (30%). Five patients were not intubated (38%), with a favorable outcome. One died after a cardiorespiratory arrest due to self-extubation...