Epiglottitis

  • Etiology: classically was Haemophilus influenzae type b
  • Imaging: supraglottic process with swollen epiglottis + thickened aryepiglottic folds, subglottic trachea normal
  • Complications: can obstruct airway, need to have someone who can manage obstructed airway with patient at all times
  • Clinical: appear toxic – stridor / dysphagia / fever / restless / respiratory distress, head tilted forward and drooling, peaks at 3.5 years old

Cases of Epiglottitis

Radiograph of epiglottitis
Lateral radiograph of the airway shows an enlarged epiglottis + thickened aryepiglottic folds.