Acute epiglottitis: Difference between revisions
From IDWiki
(→) |
(→) |
||
| Line 16: | Line 16: | ||
* Thermal epiglottitis |
* Thermal epiglottitis |
||
* Angioneurotic edema |
* Angioneurotic edema |
||
| − | * Retropharyngeal abscess |
+ | * [[Retropharyngeal abscess]] |
| − | * Peritonsillar abscess |
+ | * [[Peritonsillar abscess]] |
* Uvulitis |
* Uvulitis |
||
| − | * Diphtheria |
+ | * [[Diphtheria]] |
== Presentation == |
== Presentation == |
||
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
