Acute epiglottitis: Difference between revisions
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* Thermal epiglottitis |
* Thermal epiglottitis |
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* Angioneurotic edema |
* Angioneurotic edema |
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* Retropharyngeal abscess |
* [[Retropharyngeal abscess]] |
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* Peritonsillar abscess |
* [[Peritonsillar abscess]] |
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* Uvulitis |
* Uvulitis |
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* Diphtheria |
* [[Diphtheria]] |
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== Presentation == |
== Presentation == |
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Revision as of 15:10, 17 August 2019
- Infection of the epiglottis
Etiology
- Paediatric
- Haemophilus influenzae type B
- Adult
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
