Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • nonvaccination with Hib vaccine
  • sore throat
  • dysphagia
  • difficulty in controlling secretions
  • toxic appearance
  • acute distress
  • fever
  • tripod position
  • difficulty breathing

Other diagnostic factors

  • decreased oral intake
  • muffled voice
  • stridor
  • irritability
  • drooling

Risk factors

  • nonvaccination with Hib vaccine
  • immunocompromise
  • middle age

Diagnostic investigations

1st investigations to order

  • laryngoscopy
  • lateral neck radiograph
Full details

Investigations to consider

  • CBC
  • cultures of blood/supraglottis (epiglottis)
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Rahul K. Shah

VP, Chief Quality and Safety Officer

Children's National Health System

Washington

DC

Disclosures

RKS declares that he has no competing interests.

Jason L. Acevedo

Otolaryngologist

South Abilene Ear, Nose & Throat

Abilene

TX

Disclosures

JLA declares that he has no competing interests.

Peer reviewers VIEW ALL

Walter Reed Army Medical Center

Department of Surgery--Otolaryngology Service

Washington

DC

Disclosures

SB declares that he has no competing interests.

Associate Professor

Department of Otorhinolaryngology--Head and Neck Surgery

Albert Einstein College of Medicine

Bronx

NY

Disclosures

SP declares that he has no competing interests.

Ochsner Health System

Department of Otolaryngology

New Orleans

LA

Disclosures

KR declares that he has no competing interests.

Catalina ENT

Tucson

AZ

Disclosures

DP declares that he has no competing interests.

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