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A Lot to Choke on: Case of Adult Epiglottitis with Concurrent Peritonsillar Abscess in a Patient with a Sore Throat.
J Emerg Med. 2018 Dec; 55(6):841-844.JE

Abstract

BACKGROUND

In the winter months, one often sees a large increase in the volume of patients presenting to emergency departments with acute pharyngitis. While most cases of acute pharyngitis are benign, a rare minority can be life threatening.

CASE REPORT

We report a case of epiglottis with a concomitant peritonsillar abscess (PTA) in an adult who presented to the emergency department with a sore throat. Computed tomography (CT) scan showed epiglottitis with a developing left PTA. The patient was treated with broad-spectrum antibiotics, high-dose steroids, and underwent multiple laryngoscopies with eventual resolution of his epiglottic swelling. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: This case serves to highlight the importance of physical examination and CT imaging in identifying patients with pharyngitis who can benefit from additional interventions and monitoring. It is also an unusual example of the presence of two likely related upper respiratory pathologies presenting in the same patient.

Authors+Show Affiliations

University of California San Diego, San Diego, California.University of California San Diego, San Diego, California.University of California San Diego, San Diego, California.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

30342860

Citation

Parthasarathy, Vishnu, et al. "A Lot to Choke On: Case of Adult Epiglottitis With Concurrent Peritonsillar Abscess in a Patient With a Sore Throat." The Journal of Emergency Medicine, vol. 55, no. 6, 2018, pp. 841-844.
Parthasarathy V, Snyder B, Saddawi-Konefka R. A Lot to Choke on: Case of Adult Epiglottitis with Concurrent Peritonsillar Abscess in a Patient with a Sore Throat. J Emerg Med. 2018;55(6):841-844.
Parthasarathy, V., Snyder, B., & Saddawi-Konefka, R. (2018). A Lot to Choke on: Case of Adult Epiglottitis with Concurrent Peritonsillar Abscess in a Patient with a Sore Throat. The Journal of Emergency Medicine, 55(6), 841-844. https://doi.org/10.1016/j.jemermed.2018.09.017
Parthasarathy V, Snyder B, Saddawi-Konefka R. A Lot to Choke On: Case of Adult Epiglottitis With Concurrent Peritonsillar Abscess in a Patient With a Sore Throat. J Emerg Med. 2018;55(6):841-844. PubMed PMID: 30342860.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Lot to Choke on: Case of Adult Epiglottitis with Concurrent Peritonsillar Abscess in a Patient with a Sore Throat. AU - Parthasarathy,Vishnu, AU - Snyder,Brian, AU - Saddawi-Konefka,Robert, Y1 - 2018/10/17/ PY - 2018/06/19/received PY - 2018/08/17/revised PY - 2018/09/01/accepted PY - 2018/10/22/pubmed PY - 2019/1/9/medline PY - 2018/10/22/entrez KW - ENT KW - PTA KW - airway KW - deep-space neck infection KW - drooling KW - dysphagia KW - epiglottitis KW - odynophagia KW - peritonsillar abscess KW - pharyngitis KW - sore throat KW - stridor KW - throat KW - throat pain KW - tonsillar abscess SP - 841 EP - 844 JF - The Journal of emergency medicine JO - J Emerg Med VL - 55 IS - 6 N2 - BACKGROUND: In the winter months, one often sees a large increase in the volume of patients presenting to emergency departments with acute pharyngitis. While most cases of acute pharyngitis are benign, a rare minority can be life threatening. CASE REPORT: We report a case of epiglottis with a concomitant peritonsillar abscess (PTA) in an adult who presented to the emergency department with a sore throat. Computed tomography (CT) scan showed epiglottitis with a developing left PTA. The patient was treated with broad-spectrum antibiotics, high-dose steroids, and underwent multiple laryngoscopies with eventual resolution of his epiglottic swelling. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: This case serves to highlight the importance of physical examination and CT imaging in identifying patients with pharyngitis who can benefit from additional interventions and monitoring. It is also an unusual example of the presence of two likely related upper respiratory pathologies presenting in the same patient. SN - 0736-4679 UR - https://www.unboundmedicine.com/medline/citation/30342860/A_Lot_to_Choke_on:_Case_of_Adult_Epiglottitis_with_Concurrent_Peritonsillar_Abscess_in_a_Patient_with_a_Sore_Throat_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0736-4679(18)30933-8 DB - PRIME DP - Unbound Medicine ER -