Acute epiglottitis - Learning Issue: Acute Epiglottitis...

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Learning Issue: Acute Epiglottitis · Don’t Miss This: first-line treatment of a third generation cephalosporin (ceftriaxone, adult- 1-2 g, BID, PEDS 75 mg/kg/d/IV · Definition: Is an acute inflammation of the supraglottic region of the oropharynx with inflammation of the epiglottitis, vallecula, arythenoids, and aryepiglottic folds. · Causes: Most common organisms are: H influenza 25 % of cases, the rest are H parainfleunza, strept pneumonia, group A streptococci. Non-infectious causes include: Thermal (smoking crack cocaine, marijuana, burns from bottle feeding, caustic insults (dishwasher soap), foreign body. Reaction from head or neck chemotherapy. · Risk Factors or Predisposing Factors · Epidemiology: Is an uncommon disease. Incidence in adults 1 case per 100,000 per year. Most frequent in men, occurring during the fifth decade of life. Ratio of incidence in children to adults was 2:6:1 in 1980, and dropped 0:4:1 in 1993. Incidence has decreased dramatically since the introduction of H. influenza
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Acute epiglottitis - Learning Issue: Acute Epiglottitis...

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