Investigation of a cluster of acute epiglottitis in Vendée, western France, October – December 2022 - 18/07/24
, Pascaline Loury a, Ronan Ollivier a, Thomas Guimard b, Jean-Claude Lacherade b, Yves-Marie Vandamme c, Farah Boukraa d, Lisa A. King aHighlights |
• | The clustered cases of epiglottitis reported in the literature are rare and generally occur over long periods of time, rendering highly exceptional an acute episode in which five men over 30 years of age were hospitalised in intensive care for acute epiglottitis within 16 days (27 November to 13 December 2022) in the Vendée administrative district (western France). |
• | In the ensuing investigation, the cases were characterized and analyzed at the departmental, regional and national levels using the French syndromic surveillance system, supplemented by microbiological data from a national reference centre. |
• | The unusual grouping of six serious cases of epiglottitis in Vendée coincided with an overall increase in France, which occurred concomitantly with increased circulation of streptococcus A, instigating a nationwide alert. |
Abstract |
Objectives |
In our investigation of an episode of clustered acute epiglottitis occurring in Vendée, western France, between October and December 2022, we described the reported cases and confirmed its unusual character at several geographic levels.
Methods |
The investigation relied on three data sources: hospitalization and emergency department reports; national reference centre data; and data from the French syndromic surveillance system.
Results |
The six patients were male, with an average age of 42 years [32–66]; all were hospitalized in an ICU, and one of them died. Documented risk factors for epiglottitis (active smoking, regular alcohol consumption, overweight) were present in the majority of cases. No causal pathogen was identified. Syndromic surveillance data confirmed increased acute epiglottitis at the local, regional and national levels.
Conclusion |
We not only characterized the episode of serious clustered acute epiglottitis in Vendée, but also observed a nationwide increase in this pathology occurring concomitantly with increased circulation in France of streptococcus A.
Le texte complet de cet article est disponible en PDF.Keywords : Acute epiglottitis, Adults, Men, France, Overweight/Obesity
Plan
Vol 54 - N° 5
Article 104934- août 2024 Retour au numéro
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