成人急性會厭炎為耳鼻喉的急症之一,接受適當的抗生素治療,絕大部分會很快的痊癒。本篇報告一個較頑劣的病例,及時使用纖維喉鏡及直接喉鏡做切片檢查,才發現真正的診斷喉結核;經一星期的抗結核藥物的治療,病人的症狀即獲得奇蹟式的改善。
Adult epiglottits is an otolaryngological emergency. Under proper antibiotic therapy, however, most cases recover rapidly. This is a report of a case in which clinical findings indicated acute epiglottitis, but which showed no improvement with antibiotic therapy when treated by a local medical doctor for three weeks. Following the immediate application of a fiberoptic and microscopic direct laryngoscope with biopsy, an accurate diagnosis was established, i.e. laryngeal tuberculosis. After receiving the appropriate antituberculous therapy for just one week, the patient's symptoms improved dramatically.