European Journal of Case Reports in Internal Medicine (Mar 2021)

Acute Epiglottitis Due to COVID-19 Infection

  • Jonathan Emberey,
  • Srinath Velala,
  • Ben Marshall,
  • Adil Hassan,
  • Salim Meghjee,
  • M Jamil Malik,
  • Muhammad Hussain

DOI
https://doi.org/10.12890/2021_002280

Abstract

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A 53-year-old man presented acutely to the Accident and Emergency department with a 2-day history of progressive odynophagia and shortness of breath. The patient had stridor at rest and acute epiglottitis was suspected. The patient was transferred urgently to theatre for intubation but due to a severely oedematous airway, this was unsuccessful and emergency tracheotomy was performed by the ENT team. Throughout admission the only positive microbiological sample was a nasopharyngeal swab for SARS-CoV-2 infection. In the absence of other positive microbiology, it is highly likely that COVID-19 was the aetiological cause of acute epiglottitis in this instance.

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