• Pediatric emergency care · Nov 2019

    Case Reports

    Influenza A-Associated Epiglottitis and Compensatory Pursed Lip Breathing in an Infant.

    • Shelease C OʼBryant, Jonathan D Lewis, Andrea T Cruz, and Brent A Mothner.
    • From the Department of Pediatrics, Texas Children's Hospital.
    • Pediatr Emerg Care. 2019 Nov 1; 35 (11): e213-e216.

    AbstractThe last 3 decades have seen a shift in the epidemiology of epiglottitis. Epiglottitis was once most commonly associated with Haemophilus influenzae type B. However, with the implementation of the H. influenzae type B vaccine in 1985, the incidence has drastically declined. There are now new emerging pathogens-bacteria, viruses, and fungi-causing epiglottitis. Here, we report the first case of epiglottitis secondary to influenza A in a former full-term, vaccinated infant who presented with cough, fever, stridor, pursed lip breathing, and progressive respiratory distress and eventual respiratory failure. This case highlights the presentation and clinical course of epiglottitis and describes a rare clinical feature, pursed lip breathing, in an infant.

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