{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T16:52:03Z","timestamp":1785775923045,"version":"3.56.0"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The last 3 decades have seen a shift in the epidemiology of epiglottitis. Epiglottitis was once most commonly associated with<jats:italic toggle=\"yes\">Haemophilus influenzae<\/jats:italic>type B. However, with the implementation of the<jats:italic toggle=\"yes\">H. influenzae<\/jats:italic>type B vaccine in 1985, the incidence has drastically declined. There are now new emerging pathogens\u2014bacteria, viruses, and fungi\u2014causing epiglottitis. Here, we report the first case of epiglottitis secondary to influenza A in a former full-term, vaccinated infant who presented with cough, fever, stridor, pursed lip breathing, and progressive respiratory distress and eventual respiratory failure. This case highlights the presentation and clinical course of epiglottitis and describes a rare clinical feature, pursed lip breathing, in an infant.<\/jats:p>","DOI":"10.1097\/pec.0000000000001589","type":"journal-article","created":{"date-parts":[[2018,9,26]],"date-time":"2018-09-26T21:49:25Z","timestamp":1537998565000},"page":"e213-e216","source":"Crossref","is-referenced-by-count":8,"title":["Influenza A\u2013Associated Epiglottitis and Compensatory Pursed Lip Breathing in an Infant"],"prefix":"10.1097","volume":"35","author":[{"given":"Shelease C.","family":"O'Bryant","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan D.","family":"Lewis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea T.","family":"Cruz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brent 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