Acute epiglottitis: Difference between revisions
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* Paediatric |
* Paediatric |
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| − | ** Haemophilus influenzae type B |
+ | ** ''[[Haemophilus influenzae]]'' type B |
* Adult |
* Adult |
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| − | ** Streptococcus pneumoniae |
+ | ** ''[[Streptococcus pneumoniae]]'' |
| − | ** Streptococcus pyogenes |
+ | ** ''[[Streptococcus pyogenes]]'' |
| − | ** Neisseria meningitidis |
+ | ** ''[[Neisseria meningitidis]]'' |
== Differential Diagnosis == |
== Differential Diagnosis == |
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Revision as of 11:10, 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
