MediAI

  Abstract Acute Epiglottitis is a rapidly progressive, potentially fatal upper airway condition characterized by inflammation and edema of the epiglottis and surrounding supraglottic structures. Despite the widespread implementation of the Haemophilus influenzae type b (Hib) vaccine, epiglottitis remains clinically significant—particularly in adults—requiring prompt recognition and airway management. This column presents a radiology-driven case analysis, integrates CT imaging interpretation, and delivers a comprehensive expert-level review including pathophysiology, epidemiology, clinical presentation, imaging features, differential diagnosis, treatment strategies, and prognosis.  Clinical Case Summary A 60-year-old male presented with: Severe sore throat (2 days) Hoarseness Fever Physical findings: No stridor, drooling, or respiratory distress Unremarkable oropharyngeal exam Radiologic findings: Lateral neck X-ray: “Thumb sign.” Contrast-enhanced CT: Enlarged, edematous epig...

  Supraglottic Soft-Tissue Infection with Epiglottic Abscess: A Silent Threat to the Airway Author: Elias Lee, Ph.D.(Medicine, Engineering) Category: ENT | Radiology | Emergency Medicine Estimated reading time: 5 minutes Introduction Supraglottic soft-tissue infection with epiglottic abscess formation is a rare yet life-threatening condition, especially in young adults. This infection involves acute inflammation and the potential formation of abscesses in the epiglottis and adjacent supraglottic structures. Timely recognition and airway management are crucial to prevent sudden respiratory compromise. In this post, we explore a real case of a 19-year-old male who presented with a sore throat and dyspnea over several days, highlighting the diagnostic role of CT and the clinical implications of epiglottic abscess. Clinical Case Summary A previously healthy 19-year-old man presented with progressive sore throat and shortness of breath lasting 2–3 days. No...