Podcast # 487: Hunting for Epiglottitis
Release Date: 07/10/2019
Contributor: Michael Hunt, MD
- Due to the efficacy of vaccination, epiglottitis is now more common in adults than children
- Risk factors include smoking and other immunocompromising co-morbidities, such as diabetes
- Epiglottitis can present with sore throat and fever, with potential rapid progression to respiratory distress and stridor
- Diagnosis can include x-ray to look for the “thumbprint sign," nasofiberoptics, and/or CT
- Antibiotics are mainstay of treatment but severe cases may need establishment of a definitive airway, typically done with fiberoptics in the operating room due to the potential to irritate the epiglottitis with traditional laryngoscopy
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Tsai YT, Huang EI, Chang GH, Tsai MS, Hsu CM, Yang YH, Lin MH, Liu CY, Li HY. Risk of acute epiglottitis in patients with preexisting diabetes mellitus: A population-based case-control study. PLoS One. 2018;13(6):e0199036. doi: 10.1371/journal.pone.0199036. eCollection 2018. PubMed PMID: 29889887; PubMed Central PMCID: PMC5995441.
Guerra AM, Waseem M. Epiglottitis. [Updated 2018 Nov 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK430960/
Summarized by Will Dewispelaere, MS4 | Edited by Erik Verzemnieks, MD