Paediatric acute epiglottitis re-visited. Low, Y. M., Leong, J. L., & Tan, H. K. K. Singapore Medical Journal, 44(10):539–541, 2003.
Paediatric acute epiglottitis re-visited [link]Paper  abstract   bibtex   
Introduction: Paediatric acute epiglottitis is rare in Asia. The National University Hospital in Singapore has seen only two cases of paediatric acute epiglottitis in the last 10 years. The topic is re-visited here to remind physicians of its acutely dramatic progression. Clinical picture: Both boys presented with a viral prodrome which progressed within hours to life-threatening upper airway obstruction. Examination revealed an inflamed epiglottis. Treatment: They were successfully intubated and treated with intravenous antibiotics. Outcome(s): Both recovered uneventfully. Conclusion(s): Paediatric acute epiglottitis has declined markedly in the West with widespread vaccination against HiB. In contrast, the incidence of invasive HiB disease in Asia has always been low despite limited vaccination. Clinicians must remain vigilant of the possibility of acute epiglottitis in a child with "flu".
@article{low_paediatric_2003,
	title = {Paediatric acute epiglottitis re-visited},
	volume = {44},
	issn = {0037-5675},
	url = {http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed8&NEWS=N&AN=38649144},
	abstract = {Introduction: Paediatric acute epiglottitis is rare in Asia. The National University Hospital in Singapore has seen only two cases of paediatric acute epiglottitis in the last 10 years. The topic is re-visited here to remind physicians of its acutely dramatic progression. Clinical picture: Both boys presented with a viral prodrome which progressed within hours to life-threatening upper airway obstruction. Examination revealed an inflamed epiglottis. Treatment: They were successfully intubated and treated with intravenous antibiotics. Outcome(s): Both recovered uneventfully. Conclusion(s): Paediatric acute epiglottitis has declined markedly in the West with widespread vaccination against HiB. In contrast, the incidence of invasive HiB disease in Asia has always been low despite limited vaccination. Clinicians must remain vigilant of the possibility of acute epiglottitis in a child with "flu".},
	language = {English},
	number = {10},
	journal = {Singapore Medical Journal},
	author = {Low, Y. M. and Leong, J. L. and Tan, H. K. K.},
	year = {2003},
	keywords = {*acute epiglottitis/di [Diagnosis], *acute epiglottitis/dt [Drug Therapy], *acute epiglottitis/et [Etiology], *acute epiglottitis/pc [Prevention], *antibiotic agent/dt [Drug Therapy], *antibiotic agent/iv [Intravenous Drug Administration], *child care, Haemophilus influenzae type b, Haemophilus influenzae type b vaccine/dt [Drug Therapy], Singapore, antibiotic therapy, article, case report, ceftriaxone/dt [Drug Therapy], ceftriaxone/iv [Intravenous Drug Administration], cervical spine radiography, clinical feature, dexamethasone/dt [Drug Therapy], dexamethasone/iv [Intravenous Drug Administration], disease course, endotracheal intubation, epidemiological data, human, incidence, influenza, male, preschool child, preventive medicine, rare disease, rifampicin/dt [Drug Therapy], treatment outcome, university hospital, upper respiratory tract infection, upper respiratory tract obstruction/co [Complication], upper respiratory tract obstruction/et [Etiology]},
	pages = {539--541},
}

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