Ahmet DEMİRCAN, Ayfer KELEŞ, Şahander Gülbin AYGENCEL, Betül AKBUĞA

Acil serviste bir erişkin epiglottit olgusu

Akut epiglottit potansiyel olarak ani hava yolu obstruksiyonu yapması nedeniyle yaşamı tehdit eden hastalıklardan biridir. Sıklıkla çocukluk çağında görülmekle birlikte erişkinde de görülebilir. Erişkin döneminde nadir görüldüğü için sıklıkla yanlış tanı alabilir. Burada 43 yaşında ağır infeksiyöz epiglottit tanısı alan bir erkek hasta sunulmuştur. Başlangıçta medikal tedavi verilmiş; fakat medikal tedavi başarısız olmuş ve hastaya hava yolu kontrolu amacıyla trakeotomi açılmıştır. Erişkinde bu hastalığın belirti ve bulgularının bilinmesi erken tanı ve doğru tedavide yol gösterir; morbidite ve mortaliteyi azaltır.

A case of adult epiglottitis in the emergency department

Acute epiglottitis, a serious life-threatening disease because of its potential for sudden upper airway obstruction, is most commonly seen in children, although it can occur in adults. Because acute epiglottitis is uncommon in adults, it is often misdiagnosed. We report here the case of a 43-year-old man with serious acute infectious epiglottitis. He was treated first medically but medical treatment failed, and tracheotomy was performed for airway management. Knowledge of the symptoms and signs of the disease lead to early diagnosis and appropriate management, thereby reducing morbidity and mortality rates in adults.

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