Acute epiglottitis

    • Acute epiglottitis (Syn. Supraglottic Laryngitis)
      • It is an acute inflammatory condition confined to supraglottic structures, i.e. epiglottis, aryepiglottic folds and arytenoids.
      • There is marked oedema of these structures which may obstruct the airway
      • affects children of 2-7 years of age
      • H. influenzae B is the most common organism responsible for this condition in children (MCQ)
      • Laryngoscopy
        • show oedema and congestion of supraglottic structure.
        • avoided for fear of precipitating complete obstruction.
      • Lateral soft tissue X-ray of neck may show swollen epiglottis (thumb sign).(MCQ)
      • Treatment
        • Hospitalisation
        • Essential because of the danger of respiratory obstruction.
        • Ampicillin or third generation cephalosporin are effective
        • Hydrocortisone or dexamethasone
        • Adequate hydration
        • Humidification and oxygen. Patient may require mist tent or a croupette.
        • Intubation or tracheostomy may be required for respiratory obstruction (MCQ)
    • Acute laryngo-tracheo-bronchitis
      • It is an inflammatory condition of the larynx, trachea and bronchi
      • more common than acute epiglottitis.
      • parainfluenza type I and II
      • affect children between 6 months to 3 years of age.
      • Male children are more often affected.
      • Steeple sign on AP View of neck


    emergency physician, talks about epiglottitis
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    Epiglottitis- Drooling is Dangerous
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    Acute Epiglottitis
    It is an acute inflammation in the supraglottic region of the oropharynx
    Aryepiglottic folds
    It is a medical emergency.
    It is obstruct the trachea .
    It is life-threatening condition
    Definition Of Acute epiglottitis (Medical Dictionary Online)
    what is the definition of Acute epiglottitis: A rapidly progressive infection causing inflammation of the epiglottis (the flap that covers the trachea) and tissues around the epiglottis that may lead to abrupt blockage of the upper airway and death. The infection is usually caused by bacteria. The inflamed epiglottis mechanically obstructs the airway and impairs the breathing process.

    The onset of epiglottitis is generally rather sudden. Sore throat and hoarseness, frequently with a high fever, develop abruptly in a previously well individual. Trouble swallowing and respiratory distress with drooling, difficulty breathing, fast breathing, and noisy inspiration develop rapidly, often causing the person to lean forward and hyperextend the neck to enhance air exchange.

    Treatment involves hospitalization and respiratory support (which may include a breathing tube, or ventilator), as well as antibiotics to treat the bacterial infection.
    Medical Tube- Epiglottitis
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    Epiglottitis diagnosis and treatment
    What is epiglottitis?