epiglottitis
EPIGLOTTITIS
Epiglottitis is the inflammation of the epiglottis and supraglottic tissues (aryepilottic folds, arytenoid, uvula).
It is often characterized by an acute, rapidly progressing respiratory disease.
It is a medical emergency in children requiring immediate treatment and typically artificial airway placement.
H. influenzae type B is the most common etiologic agent in children.

Differential Diagnosis

Croup

  • Characterized by barking cough, hoarse voice, dyspnea & inspiratory stridor
  • Prominent/audible stridor w/ marked retractions may be indicative of impending respiratory obstruction

Diphtheria

  • Characterized by malaise, sore throat, anorexia, & low-grade fever
  • Pharyngeal exam shows a typical gray-white membrane adherent to the tissue that bleeds when attempted to be removed, w/c establishes the diagnosis of diphtheria vs epiglottitis
  • W/ insidious course but sudden respiratory obstruction may occur

Tracheitis

  • Patient appears febrile & symptoms mimics epiglottitis especially in patients previously on antibiotic therapy

Other Bacterial Infections

  • Retropharyngeal abscess, uvulitis, peritonsillar abscess
  • Usually ruled-out by radiographic findings & direct examination

Other Noninfectious Diagnoses

  • Foreign body aspiration
  • Hereditary angioedema
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS JPOG - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
3 days ago
New drug applications approved by US FDA as of 1 - 15 July 2018 which includes New Molecular Entities (NMEs) and new biologics. It does not include Tentative Approvals. Supplemental approvals may have occurred since the original approval date.
Yesterday
Loss of control over eating (LOC) in pregnancy is common and has short- and long-term adverse effects on mother and offspring, according to a study, adding that pregnancy LOC merits further attention.