An infant with fever and stridor

Pediatric Emergency Care
Derek S WheelerJohn S Giuliano

Abstract

The clinical spectrum of infectious causes of upper airway obstruction has changed dramatically in the last few decades, especially after the introduction of vaccines against diphtheria and Haemophilus influenzae. Nevertheless, infectious causes of upper airway obstruction remain an important source of morbidity and potential mortality in the pediatric age group. Physicians caring for children need to be cognizant of the clinical presentation of this group of disorders because prompt recognition and early appropriate treatment are lifesaving. Epiglottitis, or supraglottitis as some authors prefer, is a potentially life-threatening bacterial infection of the epiglottis and surrounding tissues, including the aryepiglottic folds, the arytenoids, and the supraglottic larynx. Despite the virtual elimination of invasive H. influenzae type B infection, it is important for physicians caring for children to understand the management issues surrounding patients with supraglottitis to avoid disastrous outcomes. As illustrated in the following case, these children may not always present with classic features of supraglottitis.

References

Dec 1, 1992·Pediatric Emergency Care·M HarjacekP Montgomery
Nov 1, 1990·Clinical Pediatrics·G M GlennM Krober
Jan 1, 1990·Annals of Emergency Medicine·J D LosekP L Havens
Mar 1, 1989·Pediatric Emergency Care·R J BrilliD H Cotcamp
Nov 1, 1986·Reviews of Infectious Diseases·E WaldD Chiponis
Nov 1, 1986·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·C GonzalezA E Thompson
Jan 1, 1988·Critical Care Medicine·W ButtP Phelan
Mar 1, 1988·The Annals of Otology, Rhinology, and Laryngology·D M CrockettE M Friedman
Jan 1, 1988·International Anesthesiology Clinics·W S Crysdale, K Sendi
May 1, 1988·The American Journal of Emergency Medicine·J I Singer, J B McCabe
Jul 1, 1986·The Journal of Pediatrics·J LacroixA Lamarre
Jan 1, 1986·Intensive Care Medicine·A C Gerber, J Pfenninger
Feb 1, 1994·Archives of Disease in Childhood·S M SawyerG L Gilbert
Jan 1, 1994·Archives of Pediatrics & Adolescent Medicine·M H Gorelick, M D Baker
Dec 5, 1996·International Journal of Pediatric Otorhinolaryngology·M DammB Roth
Nov 5, 1997·The Pediatric Infectious Disease Journal·J K Wenger
Oct 14, 1998·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·T BernsteinB Jacobs
Nov 5, 1999·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·M DammB Roth
Dec 10, 1999·The New England Journal of Medicine·D M Morens
Dec 22, 1999·Paediatric Anaesthesia·A Wagle, R M Jones
Sep 21, 2000·International Journal of Pediatric Otorhinolaryngology·S H LaiY H Chou
Oct 26, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·P T HeathE R Moxon
Mar 10, 2001·The Journal of Pediatrics·S S LeeR S Bahadori
Jul 21, 2001·American Journal of Otolaryngology·R H Stroud, N R Friedman
Apr 2, 2002·MMWR. Morbidity and Mortality Weekly Report·UNKNOWN Centers for Disease Control and Prevention (CDC)
Mar 29, 2003·International Journal of Pediatric Otorhinolaryngology·John McEwanPaul Shears
Apr 20, 2004·The Laryngoscope·Rahul K ShahDwight T Jones
Jun 30, 2004·Paediatric Respiratory Reviews·Jürg Hammer
Sep 18, 2004·BMJ : British Medical Journal·Jodie McVernonMary E Ramsay
Dec 4, 2004·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Frank N SalamoneJohn H Greinwald
Mar 9, 2006·Seminars in Pediatric Infectious Diseases·Laura Loftis
Apr 1, 2006·Pediatric Clinics of North America·Keyvan Rafei, Richard Lichenstein
Jun 28, 2006·Pediatric Emergency Care·Howard Faden

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