epiglottitis
EPIGLOTTITIS
Treatment Guideline Chart
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
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