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Epiglottitis in Child
Bernadette L. Koch, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Supraglottitis
              • Definitions

                • Infectious inflammation of epiglottis and surrounding tissues

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Guardiani E et al: Supraglottitis in the era following widespread immunization against Haemophilus influenzae type B: evolving principles in diagnosis and management. Laryngoscope. 120(11):2183-8, 2010
                                        2. Shah RK et al: Epiglottitis in the United States: national trends, variances, prognosis, and management. Laryngoscope. 120(6):1256-62, 2010
                                        3. Cheung CS et al: Adult epiglottitis: 6 years experience in a university teaching hospital in Hong Kong. Eur J Emerg Med. 16(4):221-6, 2009
                                        4. Reed J et al: Aryepiglottic abscess manifesting as epiglottitis. Arch Otolaryngol Head Neck Surg. 135(9):953-5, 2009
                                        5. Tebruegge M et al: Necrotizing epiglottitis in an infant: an unusual first presentation of human immunodeficiency virus infection. Pediatr Infect Dis J. 28(2):164-6, 2009
                                        6. Glynn F et al: Diagnosis and management of supraglottitis (epiglottitis). Curr Infect Dis Rep. 10(3):200-4, 2008
                                        7. Kavanagh KR et al: Traumatic epiglottitis after foreign body ingestion. Int J Pediatr Otorhinolaryngol. 72(6):901-3, 2008
                                        8. Sobol SE et al: Epiglottitis and croup. Otolaryngol Clin North Am. 41(3):551-66, ix, 2008
                                        9. Gilbert A et al: Epiglottic abscess. Ear Nose Throat J. 83(3):154-5, 2004
                                        10. Hammer J: Acquired upper airway obstruction. Paediatr Respir Rev. 5(1):25-33, 2004
                                        11. Shah RK et al: Epiglottitis in the Hemophilus influenzae type B vaccine era: changing trends. Laryngoscope. 114(3):557-60, 2004
                                        12. Berger G et al: The rising incidence of adult acute epiglottitis and epiglottic abscess. Am J Otolaryngol. 24(6):374-83, 2003
                                        13. Garner D et al: Effectiveness of vaccination for Haemophilus influenzae type b. Lancet. 361(9355):395-6, 2003
                                        14. McEwan J et al: Paediatric acute epiglottitis: not a disappearing entity. Int J Pediatr Otorhinolaryngol. 67(4):317-21, 2003
                                        15. Nakamura H et al: Acute epiglottitis: a review of 80 patients. J Laryngol Otol. 115(1):31-4, 2001
                                        16. Stroud RH et al: An update on inflammatory disorders of the pediatric airway: epiglottitis, croup, and tracheitis. Am J Otolaryngol. 22(4):268-75, 2001
                                        17. John SD et al: Stridor and upper airway obstruction in infants and children. Radiographics. 12(4):625-43; discussion 644, 1992
                                        18. Shackelford GD et al: Subglottic edema in acute epiglottitis in children. AJR Am J Roentgenol. 131(4):603-5, 1978
                                        19. Capitanio MA et al: Obstructions of the upper airway in children as reflected on the chest radiograph. Radiology. 107(1):159-61, 1973
                                        20. Dunbar JS: Upper respiratory tract obstruction in infants and children. Am J Roentgenol Radium Ther Nucl Med. 109(2):227-46, 1970
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Synonyms

                                                      • Supraglottitis
                                                    • Definitions

                                                      • Infectious inflammation of epiglottis and surrounding tissues

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Gross Pathologic & Surgical Features

                                                                  • Microscopic Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Guardiani E et al: Supraglottitis in the era following widespread immunization against Haemophilus influenzae type B: evolving principles in diagnosis and management. Laryngoscope. 120(11):2183-8, 2010
                                                                              2. Shah RK et al: Epiglottitis in the United States: national trends, variances, prognosis, and management. Laryngoscope. 120(6):1256-62, 2010
                                                                              3. Cheung CS et al: Adult epiglottitis: 6 years experience in a university teaching hospital in Hong Kong. Eur J Emerg Med. 16(4):221-6, 2009
                                                                              4. Reed J et al: Aryepiglottic abscess manifesting as epiglottitis. Arch Otolaryngol Head Neck Surg. 135(9):953-5, 2009
                                                                              5. Tebruegge M et al: Necrotizing epiglottitis in an infant: an unusual first presentation of human immunodeficiency virus infection. Pediatr Infect Dis J. 28(2):164-6, 2009
                                                                              6. Glynn F et al: Diagnosis and management of supraglottitis (epiglottitis). Curr Infect Dis Rep. 10(3):200-4, 2008
                                                                              7. Kavanagh KR et al: Traumatic epiglottitis after foreign body ingestion. Int J Pediatr Otorhinolaryngol. 72(6):901-3, 2008
                                                                              8. Sobol SE et al: Epiglottitis and croup. Otolaryngol Clin North Am. 41(3):551-66, ix, 2008
                                                                              9. Gilbert A et al: Epiglottic abscess. Ear Nose Throat J. 83(3):154-5, 2004
                                                                              10. Hammer J: Acquired upper airway obstruction. Paediatr Respir Rev. 5(1):25-33, 2004
                                                                              11. Shah RK et al: Epiglottitis in the Hemophilus influenzae type B vaccine era: changing trends. Laryngoscope. 114(3):557-60, 2004
                                                                              12. Berger G et al: The rising incidence of adult acute epiglottitis and epiglottic abscess. Am J Otolaryngol. 24(6):374-83, 2003
                                                                              13. Garner D et al: Effectiveness of vaccination for Haemophilus influenzae type b. Lancet. 361(9355):395-6, 2003
                                                                              14. McEwan J et al: Paediatric acute epiglottitis: not a disappearing entity. Int J Pediatr Otorhinolaryngol. 67(4):317-21, 2003
                                                                              15. Nakamura H et al: Acute epiglottitis: a review of 80 patients. J Laryngol Otol. 115(1):31-4, 2001
                                                                              16. Stroud RH et al: An update on inflammatory disorders of the pediatric airway: epiglottitis, croup, and tracheitis. Am J Otolaryngol. 22(4):268-75, 2001
                                                                              17. John SD et al: Stridor and upper airway obstruction in infants and children. Radiographics. 12(4):625-43; discussion 644, 1992
                                                                              18. Shackelford GD et al: Subglottic edema in acute epiglottitis in children. AJR Am J Roentgenol. 131(4):603-5, 1978
                                                                              19. Capitanio MA et al: Obstructions of the upper airway in children as reflected on the chest radiograph. Radiology. 107(1):159-61, 1973
                                                                              20. Dunbar JS: Upper respiratory tract obstruction in infants and children. Am J Roentgenol Radium Ther Nucl Med. 109(2):227-46, 1970