Necrotizing epiglottitis with necrotizing fasciitis in a child: A case report and review of literature

Necrotizing epiglottitis (NE) is a rare but extremely serious variant of acute bacterial epiglottitis. So far, it has been reported mostly in immunocompromised adults and only seldomly in the pediatric population. We describe the case of a 15-month-old immunocompetent child who presented to our tert...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2020-11, Vol.138, p.110385-110385, Article 110385
Main Authors: Villemure-Poliquin, Noémie, Chénard-Roy, Jade, Lachance, Sophie, Leclerc, Jacques E., Lemaire-Lambert, Anthony
Format: Article
Language:English
Subjects:
Cervical fasciitis
Epiglottis
Epiglottitis
Group A streptococci
Necrotizing epiglottitis
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Summary:Necrotizing epiglottitis (NE) is a rare but extremely serious variant of acute bacterial epiglottitis. So far, it has been reported mostly in immunocompromised adults and only seldomly in the pediatric population. We describe the case of a 15-month-old immunocompetent child who presented to our tertiary referral center with necrotizing epiglottitis. This manuscript emphasizes the need for rapid recognition and surgical management of this unusual condition, as well as the importance of laryngeal preservation when facing overwhelming necrosis around the laryngeal cartilaginous framework. A review of the literature using MEDLINE, Embase and Web of Science databases was performed to discuss the epidemiology, bacteriology, treatment and prognosis of NE.
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2020.110385