A 32-year-old man presented to the emergency department with a 2-day history of nonproductive cough, fever, severe sore throat, odynophagia, and dysphagia. A chest radiograph showed no significant finding, but the lateral view of the neck demonstrated ‘‘vallecula’’ and ‘‘thumbprint’’ signs (Figure 1). Significant laboratory findings were a white blood cell count of 22,000/mL with 93% neurtrophi...

OBJECTIVE To assess the incidence, clinical characteristics, management, and outcome of epiglottitis in a defined population over an 18-year period. DESIGN Case series. SETTING The state of Rhode Island, 1975 through 1992. PATIENTS OR OTHER PARTICIPANTS Cases who met predetermined criteria for acute epiglottitis identified from hospital discharges and the State Medical Examiner's log of p...

RATIONALE Acute epiglottitis is a potentially life-threaten disease, which makes it more challenging to save the life for doctors. Unexpected deaths in custody are a primary cause of concern for the forensic community and doctor worldwide. PATIENT CONCERNS We present a case of a 44-year-old male detainee who was clinically suspected of dying of acute epiglottitis. The man experienced failure ...

A case of life-threatening laryngo-epiglottitis is reported, caused by ampicillin-resistant Haemophilus paraphrophilus. Clinicians and microbiologists should be aware of a beta-lactamase-mediated resistance among Haemophilus species other than H. influenzae.

Epiglottitis in childhood is caused by Haemophilus influenzae type b. The usual antibiotic treatment at the Royal Children's Hospital, Parkville, Victoria is a five day course of chloramphenicol. Increasingly, third generation cephalosporins are being used to treat invasive H influenzae type b infections and preliminary data suggest that they can be used successfully for epiglottitis. In a pros...