Epiglottitis: A Serious Throat Condition

Understanding Causes, Symptoms, and Treatment of Epiglottic Inflammation

Pediatrics

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Last updated: Mar 24, 2025

What is Epiglottitis?

Epiglottitis is a potentially life-threatening condition where the epiglottis—the small cartilage 'lid' that covers your windpipe—becomes inflamed and swollen. This swelling can block the airway and make breathing difficult.

Key Symptoms

  • Severe sore throat that develops rapidly
  • Difficulty and pain when swallowing
  • Muffled or hoarse voice
  • Drooling
  • Fever above 38.5°C (101°F)
  • Difficulty breathing
  • Sitting upright and leaning forward (tripod position)

Causes

Primary Causes:

  • Bacterial infections (particularly Haemophilus influenzae type b)
  • Other bacterial strains
  • Viral infections
  • Physical injury

Risk Factors

  • Age (though rare in children due to Hib vaccine)
  • Compromised immune system
  • Unvaccinated status
  • Recent throat trauma

Diagnosis

  • Physical examination (performed cautiously)
  • Lateral neck X-ray
  • Laryngoscopy (performed in controlled settings)
  • Blood tests

Treatment

Immediate Care:

  1. Emergency hospitalization
  2. Airway management
  3. Intravenous antibiotics
  4. Possible intubation

Additional Measures:

  • Oxygen therapy
  • Corticosteroids to reduce swelling
  • Close monitoring in ICU

Prevention

  • Hib vaccination
  • Good hygiene practices
  • Regular medical check-ups

When to Seek Emergency Care

Seek immediate medical attention if you experience:

  • Severe throat pain
  • Difficulty breathing
  • Inability to swallow
  • High fever with throat symptoms

Long-term Outlook

With prompt treatment, most patients recover completely within 5-7 days.

Follow-up Care

  • Complete prescribed antibiotics
  • Attend follow-up appointments
  • Monitor for recurring symptoms

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