Presentation
Acute fever, dysphagia, and sore throat.
Patient Data
Age: 20 years
Gender: Male
From the case:
Epiglottitis in adult
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Single upright lateral radiograph reveals a markedly thickened epiglottis, the classic "thumb" appearance (arrow). Note is also made of oxygen tubing around the patient's ears and nose.
Case Discussion
Acute epiglottitis most commonly occurs in kids between 2-8 years old but it can present in any age. Adult acute epiglottitis usually presents as upper respiratory tract infection. Adults do not present with the classic respiratory distress (i.e. stridor) and tripod posturing such as in children. The most common presentation in adults are:
- sore throat (100%)
- trouble swallowing (94%)
- difficulty swallowing own secretions (63%)
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