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 1966.2- 4 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.
Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2000;126(9):1157-1158. doi: