1990 Volume 1990 Issue Supplement37 Pages 177-182
We retrospectively reviewed the medical records on 48 patients with acute epiglottitis in our hospital between 1983 and 1988 period.
They were 32 males and 16 females, between 22 and 71 years and the onset tended to be frequent in spring. The clinical manifestations were sore throat and pain in swallowing (77%), dysphagia (31%), dyspnea (17%), hoarseness (10%), hemosputum (6%), cervical swelling (6%), and lump sensation in the throat (13%). One case required trachetomy and three cases required local incision and drainage of abscess by surgical procedure. In the remaining 44 patients treatment with antibiotics, and steroids injected intravenously in 32 patients was effective. Thirty patients were hospitalized and average adimission period was 7days. Air-way obstruction ensued in one case of 48 subjects (2%). One patient died of cervical abscess followed by pulmonary abscess complicated with uncontrolled diabetes. The overall mortality rate was 2%.
