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Acute klebsiella epiglottitis: Considerations for initial antibiotic coverage
Author(s) -
Berthiaume John T.,
Pien Francis D.
Publication year - 1982
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198207000-00016
Subject(s) - cefamandole , moxalactam , medicine , epiglottitis , cephalosporin , klebsiella pneumoniae , ampicillin , epiglottis , antibiotics , microbiology and biotechnology , klebsiella , amp resistance , surgery , biology , escherichia coli , biochemistry , larynx , gene
Acute epiglottitis due to Klebsiella pneumoniae in an adult patient is described. The patient failed to respond to ampicillin and required cephalosporin therapy as well as surgical drainage. In view of increased resistance of Hemophilus influenzae to ampicillin and because of other possible etiologic agents such as Staphylococcus aureus and non‐Hemophilus gram‐negative rods, consideration should be given for the initial use of one of the recently introduced cephalosporins such as moxalactam or cefamandole in the treatment of adult epiglottitis.