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Viral supraglottitis in an adult: a case presentation and literature update.
J Infect. 1999 Sep; 39(2):157-60.JI

Abstract

Viral epiglottitis (supraglottitis) is a rare entity but its presentation can mimic that of bacterial epiglottis. Regardless of the causative agent, supraglottitis is a serious disease mostly affecting children and rarely seen in adults. Early suspicion and proper evaluation are mandatory to prevent a life-threatening crisis. In both children and adults the infectious aetiology in supraglottitis is predominantly bacterial while viruses are rare, especially in adults. We describe a case of supraglottitis in an adult in which the symptoms were insidious and blood indices suggested a bacterial aetiology. However, laryngoscopic examination revealed an ulcer over the left aryepiglottic fold and serology was positive for Herpes simplex virus (HSV) IgM. Because supraglottitis due to HSV is a rare entity with few reported cases in the literature, this case is presented to highlight the viral involvement in this disease and its management.

Authors+Show Affiliations

Department of Family Medicine, American University of Beirut Medical Center, Lebanon. um00@aub.edu.lbNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

10609536

Citation

Musharrafieh, U M., et al. "Viral Supraglottitis in an Adult: a Case Presentation and Literature Update." The Journal of Infection, vol. 39, no. 2, 1999, pp. 157-60.
Musharrafieh UM, Araj GF, Fuleihan NS. Viral supraglottitis in an adult: a case presentation and literature update. J Infect. 1999;39(2):157-60.
Musharrafieh, U. M., Araj, G. F., & Fuleihan, N. S. (1999). Viral supraglottitis in an adult: a case presentation and literature update. The Journal of Infection, 39(2), 157-60.
Musharrafieh UM, Araj GF, Fuleihan NS. Viral Supraglottitis in an Adult: a Case Presentation and Literature Update. J Infect. 1999;39(2):157-60. PubMed PMID: 10609536.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Viral supraglottitis in an adult: a case presentation and literature update. AU - Musharrafieh,U M, AU - Araj,G F, AU - Fuleihan,N S, PY - 1999/12/28/pubmed PY - 1999/12/28/medline PY - 1999/12/28/entrez SP - 157 EP - 60 JF - The Journal of infection JO - J Infect VL - 39 IS - 2 N2 - Viral epiglottitis (supraglottitis) is a rare entity but its presentation can mimic that of bacterial epiglottis. Regardless of the causative agent, supraglottitis is a serious disease mostly affecting children and rarely seen in adults. Early suspicion and proper evaluation are mandatory to prevent a life-threatening crisis. In both children and adults the infectious aetiology in supraglottitis is predominantly bacterial while viruses are rare, especially in adults. We describe a case of supraglottitis in an adult in which the symptoms were insidious and blood indices suggested a bacterial aetiology. However, laryngoscopic examination revealed an ulcer over the left aryepiglottic fold and serology was positive for Herpes simplex virus (HSV) IgM. Because supraglottitis due to HSV is a rare entity with few reported cases in the literature, this case is presented to highlight the viral involvement in this disease and its management. SN - 0163-4453 UR - https://www.unboundmedicine.com/medline/citation/10609536/Viral_supraglottitis_in_an_adult:_a_case_presentation_and_literature_update_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0163-4453(99)90010-5 DB - PRIME DP - Unbound Medicine ER -