The Bottom Line: Although steroid use is advised by some authors, there are no controlled trials proving the benefit. In severe cases, epinephrine may Buy some time while waiting for the patient to be intubated.
Carey, M J, Epiglottitis in adults. The American journal of emergency medicine 1996 vol:14 iss:4 pg:421 -424
Possibly as a result in the immunization against Haemophilus influenza, acute epiglottitis has become an adult disease. It is a syndrome as a result of inflammation, which is usually caused by an infection that affects the epiglottis and surrounding structures.
TABLE 1. Organisms Responsible for Epiglottitis in Adults page 422