<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1699-695X</journal-id>
<journal-title><![CDATA[Revista Clínica de Medicina de Familia]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Clin Med Fam]]></abbrev-journal-title>
<issn>1699-695X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Medicina de Familia y Comunitaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1699-695X2024000300009</article-id>
<article-id pub-id-type="doi">10.55783/rcmf.170309</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Parada cardiorrespiratoria asociada a epiglotitis aguda por Haemophilus influenzae a en paciente adulto]]></article-title>
<article-title xml:lang="en"><![CDATA[Cardiorespiratory arrest associated with acute epiglottitis caused by Haemophilus influenzae a in adult patient]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Llinàs Vaquer]]></surname>
<given-names><![CDATA[Anna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nicolás Sánchez]]></surname>
<given-names><![CDATA[Francisco José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abu-Suboh Abadia]]></surname>
<given-names><![CDATA[Anna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nicolás Sarrat]]></surname>
<given-names><![CDATA[Francesc Josep]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Atención Primaria Onze de Setembre Medicina Familiar y Comunitaria ]]></institution>
<addr-line><![CDATA[Lleida ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitari Santa Maria Servicio de Medicina Interna ]]></institution>
<addr-line><![CDATA[Lleida ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitari Santa Maria Servicio de Diagnóstico por la Imagen y Medicina Nuclear ]]></institution>
<addr-line><![CDATA[Lleida ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Universitari Santa Maria Servicio de Medicina Interna ]]></institution>
<addr-line><![CDATA[Lleida ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>17</volume>
<numero>3</numero>
<fpage>201</fpage>
<lpage>203</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1699-695X2024000300009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1699-695X2024000300009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1699-695X2024000300009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La epiglotitis aguda (EA) es una patología poco prevalente en pacientes adultos. No obstante, es de vital importancia reconocer sus signos y síntomas e iniciar tratamiento precoz ya que puede progresar rápidamente y provocar la obstrucción de la vía aérea superior. Se describe el caso de un hombre de 61 años que, tras 10 días con fiebre y odinofagia, consulta en el servicio de urgencias por disnea y estridor de unas horas de evolución. A los pocos minutos de su ingreso, manifestó disnea rápidamente progresiva con aumento de estridor laríngeo, deglución dificultosa y desaturación de oxígeno de 60%. Debido al aumento del trabajo respiratorio, se decidió hacer intubación orotraqueal con un videolaringoscopio y se observó un gran edema de glotis. Durante este proceso, el paciente presentó parada cardiorrespiratoria con asistolia. Los análisis sanguíneos, las pruebas de imagen y hemocultivos, permiten confirmar el diagnóstico de EA y sepsis por Haemophilus influenzae tipo a. Conclusión: ante una infección respiratoria de la vía aérea superior, se debe tener en cuenta la EA del adulto, dado que puede presentar una evolución rápida y grave que ponga en riesgo la vida de la persona. Es fundamental iniciar el tratamiento antibiótico y la corticoterapia lo antes posible.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Acute epiglottitis (AE) is a rare pathology in adult patients. However, it is extremely important to recognize its signs and symptoms and commence early treatment, since it can progress rapidly causing obstruction of the upper airway. We report the case of a 61-year-old male patient who, after 10 days with fever and sore throat, consulted the casualty department because of dyspnoea and stridor of a few hours clinical course. Within a few minutes of his admission, he developed rapidly progressive dyspnoea with increased laryngeal stridor, swallowing disorder and oxygen desaturation of 60%. Due to the increased work breathing, it was decided to perform orotracheal intubation with a video-laryngoscope and large glottis oedema was observed. During this process, the patient presented cardiorespiratory arrest with asystole. Blood tests, imaging tests and blood cultures enable confirming the diagnosis of AE and sepsis due to Haemophilus Influenzae type A. Conclusion: in the event of a respiratory infection of the upper airway, AE in adults should be taken into account, since it can present a rapid and serious clinical course that puts the patient's life at risk. It is essential to commence antibiotic treatment and corticosteroid therapy as soon as possible.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[epiglotitis aguda]]></kwd>
<kwd lng="es"><![CDATA[Haemophilus influenzae A]]></kwd>
<kwd lng="es"><![CDATA[parada cardiorrespiratoria]]></kwd>
<kwd lng="en"><![CDATA[Acute Epiglottitis]]></kwd>
<kwd lng="en"><![CDATA[Cardiorespiratory Arrest]]></kwd>
<kwd lng="en"><![CDATA[Haemophilus Influenzae A]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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