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The main differential diagnosis
The main differential diagnosis is with, and foreign body portion upper respiratory, asthma and a simple.
The misdiagnosis is a major cause of mortality. Remember that, with the introduction of the vaccine against H. influenza type B, there was a large drop in cases in children Adult 1.1.2
The table in adults is usually different from the picture in children, not leading to airway compromise, but a small group (0-8%) can evolve with obstruction important, and predisposing factors are unknown
Diagnosis is made through the cervical radiography and visualization by indirect laryngoscope recommended adult. Unlike children, the epiglottis cannot be red and shiny, but pale, edematous and "opaque"
The age group affected is between 18 and 40 years old, with no seasonal prevalence.
The causative agent in adults is not well defined, only about 20-30% have positive blood cultures, most Homophiles influenza B.
The recommended treatment consists of observation, blood cultures, antibiotic coverage for H. influenza immediate and intubation if necessary (unusual, since the airway of adult higher caliber, with greater tolerance to edema).
The presence of, tall posture and symptoms of rapid developments are positive predictors of the need for airway intervention.
It is caused by staphylococcus or streptococcus species. Treatment consists of tracheotomy, then drain.
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