Which of the following is the aetiological agent most often associated with Epiglottitis in children –
- Streptococcus pneumoniae
- Haemophilus influenzae type b
- Neisseria sp
- Moraxella catarrhalis
“In published case series, it is almost always caused by Haemophilus influenzae type B”. - CPDT
- It is the inflammation of epiglottis with inflammatory edema of hyopharynx.
- It is a true medical emergency.
- H.influenzae is the most common causative organism.
- Other organisms are → Pneumococci, Streptococcus pyogenes, N.meningitidis, Staphylococcus
- Onset is sudden
- Symptoms are → fever, dysphagia, drooling, muffled voice, inspiratory retractions, cyanosis and soft stridor.
- Patients often sit in sniffing dog position.
- Respiratory arrest may occur.
- “Cherry red” swollen epiglottis by laryngoscope.
- Radiograph → “Thumbprint” sign.
- Immediate endotracheal intubation.
- IV antibiotics to cover H.influenzae.