Epiglottitis
- Epiglottitis
- Severe phlegmonous infection, quickly progressing
- Important to consider it in all children with stridor
- Less common after H. influenzae vaccine
- Mostly in young children
- Etiology
- H. influenzae
- S. pneumoniae
- Clinical features
- High fever
- Inspiratory stridor
- Odynophagia
- Drooling
- Leaning forward
- No cough
- Management
- Urgent to hospital
- Airway may collapse rapidly, must be prepared to intubate, no inspection of the pharynx before you're prepared
- Visualisation of inflamed epiglottis by laryngoscopy
- IV antibiotics
- Complications
- Abscess (rare)