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. 2020 Aug 23;12(8):e9976. doi: 10.7759/cureus.9976

Table 2. Imaging Findings, Microbiology, and Treatment of Acute Adult Supraglottitis (AAS).

MRSA: Methicillin-resistant Staphylococcus aureus

Variables Number Percentage
Thumb Sign Positive 77 65.2
Negative 16 13.6
X-ray not done 25 21.2
Computed Tomography (CT) Neck Yes 53 44.9
No 65 55.1
Microbiology Not done 87 73.1
Streptococcus species 14 11.9
H. influenzae 5 4.2
K. pneumoniae 5 4.2
Candida species 3 2.5
Others (E. coli, MRSA, Anaerobes, Acinetobacter) 4 3.3
Antimicrobial Agents Ceftriaxone 72 61
Piperacillin + Tazobactam 20 16.9
Amoxicillin + Clavulanic Acid 12 10.2
Meropenem 6 5.1
Azithromycin 5 4.2
Antifungal 3 2.5
Adrenaline Nebulization Yes 78 66.1
No 40 33.9
Steroids Dexamethasone 100 84.7
Hydrocortisone 16 13.6
Methylprednisolone 2 1.7
Endotracheal Intubation Not intubated 60 50.8
Not possible 12 10.2
Intubated 46 49
Tracheostomy Yes 15 12.7
No 103 87.3