Acute epiglottitis: Difference between revisions
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= Definition = |
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* Infection of the epiglottis |
* Infection of the epiglottis |
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= Etiology = |
== Etiology == |
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* Paediatric |
* Paediatric |
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** Neisseria meningitidis |
** Neisseria meningitidis |
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= Differential Diagnosis = |
== Differential Diagnosis == |
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* Viral croup |
* Viral croup |
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* Diphtheria |
* Diphtheria |
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= Presentation = |
== Presentation == |
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* Paediatric |
* Paediatric |
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** Can also have fever, drooling, or stridor |
** Can also have fever, drooling, or stridor |
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= Investigations = |
== Investigations == |
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* Lateral neck x-ray shows thumb sign |
* Lateral neck x-ray shows thumb sign |
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* Laryngoscopy |
* Laryngoscopy |
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= Management = |
== Management == |
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* Ceftriaxone |
* Ceftriaxone |
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Revision as of 15:09, 17 August 2019
- Infection of the epiglottis
Etiology
- Paediatric
- Haemophilus influenzae type B
- Adult
- Streptococcus pneumoniae
- Streptococcus pyogenes
- Neisseria meningitidis
Differential Diagnosis
- Viral croup
- Bacterial tracheitis
- Thermal epiglottitis
- Angioneurotic edema
- Retropharyngeal abscess
- Peritonsillar abscess
- Uvulitis
- Diphtheria
Presentation
- Paediatric
- Toxic, febrile child with muffled voice and possibly tripoding
- Cough is rare
- Adult
- Odynophagia and sore throat are cardinal features
- Can also have fever, drooling, or stridor
Investigations
- Lateral neck x-ray shows thumb sign
- Laryngoscopy
Management
- Ceftriaxone
- Include Staph aureus coverage if concerned for bacterial tracheitis
- Vanco to cover resistant pneumococcus if common
- 7-10 days
