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Pathology Forum
September 2000

Quiz Case 1

Arch Otolaryngol Head Neck Surg. 2000;126(9):1157-1158. doi:

The classic presentation of epiglottitis is now very uncommon because of H influenzae type B vaccine. An upper airway process must still be considered, however, in immunosuppressed patients with new-onset airway symptoms.1 Three other patients with PTLD of the epiglottis have been described in the English-language literature since 1966.24 Depending on the underlying cause, standard treatment with antimicrobials may not be effective in the management of this disease in patients who have undergone transplantation. The diagnosis requires a high index of suspicion and prompt securing of the airway in the operating room.

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