@article{ref1,
title="Beware of thermal epiglottis! A case report describing 'teapot syndrome'",
journal="BMC anesthesiology",
year="2018",
author="Verhees, V. and Ketharanathan, N. and Oen, I. M. M. H. and Baartmans, Martin G. A. and Koopman, J. S. H. A.",
volume="18",
number="1",
pages="e203-e203",
abstract="BACKGROUND: The type of scalding injury known as 'teapot syndrome', where hot liquid is grabbed by the child with the aim of ingestion and falls over a child causing burns on the face, upper thorax and arms, is known to cause peri-oral and facial oedema. Thermal epiglottitis following scalds to face, neck and thorax is rare and can occur even in absence of ingestion of a damaging agent or intraoral burns, Awareness of the possibility of thermal epiglottitis, also in scald burns, is imperative to ensure prompt airway protection. CASE PRESENTATION: We report the case of a child with thermal epiglottitis after a scalding burn from boiling milk resulting in mixed deep burns of the face, neck and chest, but no history of ingestion. Upon presentation there was a progressive stridor and signs of respiratory distress requiring intubation. Laryngoscopy revealed epiglottis oedema, confirming the diagnosis of thermal epiglottitis. Final extubation took place 5 days after initial burn. <br><br>CONCLUSIONS: Thermal epiglottitis following scalds to face, neck and thorax is rare and can occur even in absence of ingestion and intra-oral damage. Burns to the peri-oral area should raise suspicion of additional damage to oral cavity and supraglottic structures, even in absence of intra-oral injury or initial respiratory distress. Awareness of the occurrence of thermal epiglottitis in absence of intra-oral injury is important to diagnose impending upper airway obstruction requiring intubation.<p /> <p>Language: en</p>",
language="en",
issn="1471-2253",
doi="10.1186/s12871-018-0665-7",
url="http://dx.doi.org/10.1186/s12871-018-0665-7"
}