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