非感染性之急性會厭炎

Non-infection Acute Epiglottitis

10.6200/TCMJ.2007.4.3.07

李政宜(Cheng-Yi Li)；賴昭智(Chao-Chih Lai)；李彬州(Bin-Chou Lee)

辣椒 ； 成人會厭炎 ； 非感染性會厭炎 ； 會厭炎 ； red pepper ； adult epiglottitis ； non-infectious epiglottitis ； epiglottitis

北市醫學雜誌

4卷3期（2007 / 03 / 01）

253 - 257

繁體中文

急性會厭炎，一般多因感染所造成。我們提出一個47歲病例，在耳鼻喉科醫師看診後兩小時內發生急性呼吸衰竭。病人的症狀、插管時所見到的腫脹、櫻桃紅般的會厭，以及後來頸部電腦斷層檢查，確定了急性會厭炎的診斷。而造成病人急性會厭炎的原因，我們懷疑是病人午餐吃的辣椒。截自目前為止，文獻上關於非感染因素造成的會厭炎，多為個案報告，其中大部分為吸毒或熱飲所造成。辣椒所造成的個案，這是第一例。

Acute epiglottitis is usually caused by a bacterial infection. We present here a 47 years old patient who developed acute respiratory failure within 2 hours after visiting her otolaryngologist. The patient's symptoms and a cherry-red swollen epiglottis, which was seen during intubation and a neck CT (which was done later) confirmed the diagnosis of acute epiglottitis. We suspect that the cause of the patient's acute epiglottitis was ”red pepper”, a food she had consumed during her lunch. Up to the present, there have been only limited case reports of non-infectious acute epiglottitis. Most of these cases involve drug abuse or a hot drink. As far as we know, this is the first known case of red pepper induced acute epiglottitis.