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  • Title: Acute epiglottitis and bacteremia with ampicillin-resistant Haemophilus influenzae.
    Author: Gorse GJ, Passy V, Cesario TC.
    Journal: Arch Otolaryngol; 1982 Aug; 108(8):515-6. PubMed ID: 6980642.
    Abstract:
    Acute epiglottitis in adults occurs more frequently than generally realized. Haemophilus influenzae type b is the major causative agent. While H influenzae resistant to ampicillin sodium has been associated with epiglottitis in children, no adult cases have been reported. We describe a 48-year-old woman with epiglottitis and associated typical rapid onset of sore throat, fever, respiratory distress, and swollen, red supraglottic structures. Blood cultures were positive for beta-lactamase-producing, ampicillin-resistant H influenzae. We conclude that H influenzae resistant to ampicillin should be considered when diagnosing and treating adult epiglottitis.
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