Acute epiglottitis: Difference between revisions
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+ | ==Background== |
*Infection of the epiglottis |
*Infection of the epiglottis |
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| + | *See also [[chronic epiglottitis]] |
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===Microbiology=== |
===Microbiology=== |
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*Cryptogenic (now most common) |
*Cryptogenic (now most common) |
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+ | ==Clinical Manifestations== |
| − | * |
+ | *In children, presents with fever, irritability, and respiratory distress with or without stridor |
| − | ** |
+ | **Often a muffled, hoarse voice |
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+ | **Cough is rare |
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+ | *In adults, presents with odynophagia and sore throat |
| − | ** |
+ | **May also have fever, drooling, or stridor |
==Differential Diagnosis== |
==Differential Diagnosis== |
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Latest revision as of 09:08, 18 August 2020
Background
- Infection of the epiglottis
- See also chronic epiglottitis
Microbiology
- Pediatric
- Haemophilus influenzae type B, before routine vaccination
- Adult
- Cryptogenic (now most common)
Clinical Manifestations
- In children, presents with fever, irritability, and respiratory distress with or without stridor
- Often a muffled, hoarse voice
- Cough is rare
- In adults, presents with odynophagia and sore throat
- May also have fever, drooling, or stridor
Differential Diagnosis
- Viral croup
- Bacterial tracheitis
- Thermal epiglottitis
- Angioneurotic edema
- Retropharyngeal abscess
- Peritonsillar abscess
- Uvulitis
- Diphtheria
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
