Acute epiglottitis: Difference between revisions
From IDWiki
m (Aidan moved page Head and neck Epiglottitis to Epiglottitis without leaving a redirect) |
No edit summary |
||
Line 1: | Line 1: | ||
− | = |
+ | = Definition = |
− | |||
− | == Definition == |
||
* Infection of the epiglottis |
* Infection of the epiglottis |
||
− | + | = Etiology = |
|
* Paediatric |
* Paediatric |
||
Line 14: | Line 12: | ||
** Neisseria meningitidis |
** Neisseria meningitidis |
||
− | + | = Differential Diagnosis = |
|
* Viral croup |
* Viral croup |
||
Line 25: | Line 23: | ||
* Diphtheria |
* Diphtheria |
||
− | + | = Presentation = |
|
* Paediatric |
* Paediatric |
||
Line 34: | Line 32: | ||
** Can also have fever, drooling, or stridor |
** Can also have fever, drooling, or stridor |
||
− | + | = Investigations = |
|
* Lateral neck x-ray shows thumb sign |
* Lateral neck x-ray shows thumb sign |
||
* Laryngoscopy |
* Laryngoscopy |
||
− | + | = Management = |
|
* Ceftriaxone |
* Ceftriaxone |
||
Line 45: | Line 43: | ||
* Vanco to cover resistant pneumococcus if common |
* Vanco to cover resistant pneumococcus if common |
||
* 7-10 days |
* 7-10 days |
||
+ | |||
+ | [[Category:Head and neck infections]] |
Revision as of 21:07, 14 August 2019
Definition
- 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