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Laringite

Last reviewed: 30 May 2025
Last updated: 11 Mar 2025

Summary

Definition

History and exam

Key diagnostic factors

  • presença de fatores de risco
  • rouquidão
  • disfagia
  • faringite
  • odinofagia
  • tosse
  • hiperemia da orofaringe
  • história de uso vocal intenso
  • refluxo gastroesofágico
  • exsudatos branco-acinzentados orofaríngeos
Full details

Other diagnostic factors

  • rinite
  • fadiga e mal-estar
  • febre
  • amígdalas aumentadas
  • linfonodos cervicais anteriores aumentados e sensíveis
  • gotejamento pós-nasal
  • dispneia
  • perda de peso
  • exsudato tonsilofaríngeo
  • desconforto respiratório agudo
  • aparência toxêmica
  • sialorreia
  • estridor
Full details

Risk factors

  • história recente de infecção respiratória superior
  • vacinação incompleta ou ausente contra a Haemophilus influenzae do tipo B (Hib)
  • vacinação incompleta ou ausente contra a difteria
  • contato com pessoa infectada
  • viagens para locais onde a difteria ou a tuberculose são endêmicas
  • vírus da imunodeficiência humana (HIV) ou outro imunocomprometimento
  • uso de corticosteroides inalatórios ou ciclos prolongados de antibióticos
  • uso vocal intenso
  • tabagismo
Full details

Diagnostic tests

1st tests to order

  • laringoscopia
Full details

Tests to consider

  • biópsia
  • culturas orofaríngeas
  • swab nasal para cultura
  • imunoprecipitação sérica ou reação em cadeia da polimerase para difteria
  • hemograma completo
  • teste rápido de detecção de antígeno
  • radiografia torácica
  • culturas de escarro
  • videoestroboscopia
Full details

Treatment algorithm

INITIAL

com possível comprometimento das vias aéreas

ACUTE

viral

suspeita bacteriana: não diftérica e não tuberculosa

difteria confirmada

tuberculose

fúngica

tensão vocal

Contributors

Authors

Vaninder Kaur Dhillon, MD

Assistant Professor

Johns Hopkins University

Otolaryngology-Head and Neck Surgery

Divisions of Laryngology and Endocrine Head and Neck Surgery

Bethesda

MD

Disclosures

VKD declares that she has no competing interests.

Acknowledgements

Dr Vaninder Kaur Dhillon would like to gratefully acknowledge Dr Chad W. Whited, Dr Seth H. Dailey and Dr Ozlem E. Tulunay-Ugur, the previous contributors to this topic. CWW, SHD and OETU declare that they have no competing interests.

Peer reviewers

Michael Johns, MD

Director

Assistant Professor

Emory University

Atlanta

GA

Disclosures

MJ declares that he has no competing interests.

James Suen, MD

Chair; Professor

University of Arkansas for Medical Sciences

Department of Otolaryngology - Head and Neck Surgery

Little Rock

AR

Disclosures

JS declares that he has no competing interests.

Remco de Bree, MD, PhD

Otolaryngologist

Head and Neck Surgeon

VU University Medical Center

Amsterdam

The Netherlands

Disclosures

RdB declares that he has no competing interests.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

House S A, Fisher E L. Hoarseness in adults. Am Fam Physician. 2017 Dec 1;96(11):720-8.Full text

Dworkin JP. Laryngitis: types, causes, and treatments. Otolaryngol Clin North Am. 2008 Apr;41(2):419-36. Abstract

Stachler RJ, Francis DO, Schwartz SR, et al. Clinical practice guideline: hoarseness (dysphonia) (update). Otolaryngol Head Neck Surg. 2018 Mar;158(1_suppl):S1-S42.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Laringite images
  • Differentials

    • Amigdalite
    • Mononucleose infecciosa
    • Rinite alérgica
    More Differentials
  • Guidelines

    • Clinical practice guideline: hoarseness (dysphonia)
    • Sore throat (acute): antimicrobial prescribing
    More Guidelines
  • Patient information

    Faringite

    More Patient information
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