Epiglottitis

10 min read

Epiglottitis is a serious medical condition that affects the epiglottis, a small flap of tissue located at the back of the throat. It is caused by a bacterial infection, usually Haemophilus influenzae type b (Hib). The infection causes the epiglottis to become swollen and inflamed, blocking the airway and making it difficult to breathe. If left untreated, epiglottitis can be life-threatening.

Causes of Epiglottitis

Epiglottitis is usually caused by a bacterial infection, most commonly Haemophilus influenzae type b (Hib). Other bacteria that can cause epiglottitis include Streptococcus pneumoniae, Staphylococcus aureus, and Klebsiella pneumoniae. In rare cases, a virus or fungus can also cause epiglottitis.

Risk Factors for Epiglottitis

Epiglottitis is most common in children between the ages of 2 and 6, but it can occur in people of any age. People who are at an increased risk of developing epiglottitis include those with weakened immune systems, such as those with HIV/AIDS or cancer, and those who have had a recent upper respiratory infection.

Diagnosis of Epiglottitis

Epiglottitis is usually diagnosed with a physical exam and imaging tests, such as a CT scan or X-ray. A throat culture may also be taken to identify the type of bacteria causing the infection. In some cases, a laryngoscopy may be performed to get a better view of the epiglottis.

Complications of Epiglottitis

If left untreated, epiglottitis can lead to serious complications, such as airway obstruction, respiratory failure, and even death. Other complications include aspiration pneumonia, sepsis, and abscess formation.

Prevention of Epiglottitis

The best way to prevent epiglottitis is to get vaccinated against Hib. Vaccines are available for children and adults, and they are highly effective at preventing Hib infections. It is also important to practice good hygiene, such as washing your hands regularly and avoiding contact with people who are sick.

Symptoms

Signs and Symptoms of Epiglottitis

  • Difficulty breathing
  • High fever
  • Sore throat
  • Muffled voice
  • Swollen epiglottis
  • Coughing
  • Drooling
  • Stridor (a high-pitched sound when breathing)
  • Struggling to swallow
  • Agitation

When to See a Doctor

If you or your child experience any of the above symptoms, it is important to seek medical attention immediately. Epiglottitis can be life-threatening if not treated promptly, so it is important to seek medical attention as soon as possible.

Take the Epiglottitis Assessment

Causes

Infection

The most common cause of epiglottitis is an infection. Bacterial infections, such as Haemophilus influenzae type b (Hib), are the most common cause of the condition. Other bacteria, such as Streptococcus pneumoniae, can also cause epiglottitis. Viral infections, such as influenza, can also cause the condition.

Allergies

Allergies can also increase the risk of developing epiglottitis. Allergies to certain foods, such as peanuts, can cause the epiglottis to swell, which can lead to epiglottitis. Allergies to certain medications, such as penicillin, can also increase the risk of developing the condition.

Smoking

Smoking can also increase the risk of developing epiglottitis. Smoking can irritate the epiglottis, which can lead to swelling and inflammation. This can make it difficult for the epiglottis to cover the windpipe, which can lead to epiglottitis.

Age

Epiglottitis is more common in children than adults. This is because the epiglottis in children is more prone to swelling and inflammation. Children are also more likely to be exposed to certain bacteria and viruses that can cause epiglottitis.

Immune System

People with weakened immune systems are more likely to develop epiglottitis. This includes people with HIV/AIDS, people who are undergoing chemotherapy, and people who have had an organ transplant. These people are more likely to be exposed to bacteria and viruses that can cause epiglottitis.

Getting a Diagnosis

Diagnostic Tests for Epiglottitis

The diagnosis of epiglottitis is usually made based on the patient's symptoms and physical examination. The doctor may order a number of tests to confirm the diagnosis, including:

  • X-ray of the neck and chest
  • CT scan of the neck and chest
  • Laryngoscopy
  • Flexible fiberoptic laryngoscopy
  • Blood tests

Treatment for Epiglottitis

Treatment for epiglottitis usually involves antibiotics and supportive care. In some cases, surgery may be necessary to remove the inflamed epiglottis. The goal of treatment is to reduce the inflammation and prevent airway obstruction. Treatment may also include oxygen therapy, intravenous fluids, and breathing support.

Questions for Your Doctor

Symptoms of Epiglottitis

Common symptoms of epiglottitis include difficulty swallowing, a sore throat, fever, and a muffled voice. Other symptoms may include drooling, a high-pitched sound when breathing, and a feeling of something stuck in the throat. If you experience any of these symptoms, it is important to seek medical attention right away.

Diagnosis and Treatment

Your doctor will likely perform a physical exam and may order tests such as a throat culture or X-ray to diagnose epiglottitis. Treatment typically involves antibiotics and possibly steroids to reduce swelling. In some cases, a breathing tube may be necessary to help the patient breathe. Surgery may also be necessary to remove the swollen epiglottis.

Prevention

Epiglottitis is most commonly caused by a bacterial infection, so it is important to practice good hygiene and get regular vaccinations to help prevent the spread of infection. It is also important to seek medical attention right away if you experience any of the symptoms of epiglottitis.

Treatment

Antibiotics

Antibiotics are the most common treatment for epiglottitis. They are usually given intravenously (through a vein) or orally (by mouth). The type of antibiotic used will depend on the type of bacteria causing the infection. Common antibiotics used to treat epiglottitis include amoxicillin, cefuroxime, and clindamycin.

Corticosteroids

Corticosteroids are medications that reduce inflammation. They can be used to reduce swelling in the epiglottis and help relieve symptoms. Common corticosteroids used to treat epiglottitis include prednisone and methylprednisolone.

Surgery

In some cases, surgery may be necessary to treat epiglottitis. Surgery may be used to remove infected tissue or to widen the airway. Surgery is usually only recommended if other treatments have failed.

Other Treatments

Other treatments for epiglottitis may include oxygen therapy, humidified air, and pain medications. In some cases, a breathing tube may be inserted to help keep the airway open. In severe cases, a tracheostomy (a surgical opening in the neck) may be necessary.

Drugs & Medications

Treatment for Epiglottitis

Treatment for epiglottitis usually involves antibiotics to fight the infection and corticosteroids to reduce inflammation. In some cases, a breathing tube may be inserted to help the patient breathe. Surgery may be necessary to remove the infected tissue. In severe cases, a tracheostomy may be necessary to bypass the epiglottis.

Drugs Used to Treat Epiglottitis

The most common drugs used to treat epiglottitis are antibiotics, such as ampicillin, cefuroxime, and ceftriaxone. Corticosteroids, such as prednisone, may also be prescribed to reduce inflammation. In severe cases, a breathing tube may be inserted to help the patient breathe. Surgery may be necessary to remove the infected tissue.

Side Effects of Drugs Used to Treat Epiglottitis

The most common side effects of antibiotics used to treat epiglottitis include nausea, vomiting, diarrhea, and rash. Corticosteroids can cause increased appetite, weight gain, and mood swings. Surgery may cause pain, swelling, and infection. A tracheostomy may cause difficulty speaking and swallowing.

Conclusion

Epiglottitis is a serious condition that can be life-threatening if left untreated. Treatment usually involves antibiotics and corticosteroids to fight the infection and reduce inflammation. In severe cases, surgery or a tracheostomy may be necessary. Common side effects of the drugs used to treat epiglottitis include nausea, vomiting, diarrhea, rash, increased appetite, weight gain, and mood swings.

Diet

Foods to Eat

When dealing with epiglottitis, it is important to eat a balanced diet that includes plenty of fruits, vegetables, whole grains, and lean proteins. Eating a variety of foods will help ensure that you are getting all the essential vitamins and minerals your body needs to heal and fight off infection. Here are some specific foods to include in your diet:

  • Fruits: Apples, oranges, bananas, berries, and other fresh fruits
  • Vegetables: Leafy greens, broccoli, carrots, sweet potatoes, and other fresh vegetables
  • Whole grains: Oats, quinoa, brown rice, and other whole grains
  • Lean proteins: Chicken, fish, eggs, and other lean proteins

Foods to Avoid

When dealing with epiglottitis, it is important to avoid certain foods that can irritate the throat and make the condition worse. Here are some foods to avoid:

  • Spicy foods: Hot peppers, chili powder, and other spicy foods
  • Acidic foods: Tomatoes, citrus fruits, and other acidic foods
  • Processed foods: Canned soups, frozen dinners, and other processed foods
  • Dairy products: Milk, cheese, and other dairy products

Conclusion

Eating a healthy diet is an important part of managing epiglottitis. Be sure to include plenty of fruits, vegetables, whole grains, and lean proteins in your diet, and avoid spicy, acidic, processed, and dairy foods. Following these tips can help you manage your condition and get the nutrients your body needs to heal and fight off infection.

Lifestyle

Avoid Smoking and Secondhand Smoke

Smoking and secondhand smoke can increase your risk of developing epiglottitis. If you smoke, quitting is the best way to reduce your risk. If you don't smoke, avoid secondhand smoke as much as possible.

Get Vaccinated

Getting vaccinated against the bacteria that can cause epiglottitis is one of the best ways to reduce your risk. Vaccines are available for both children and adults, so make sure you and your family are up to date on your vaccinations.

Practice Good Hygiene

Good hygiene is important for preventing the spread of bacteria that can cause epiglottitis. Wash your hands often with soap and water, and avoid sharing utensils, cups, and other items with others.

Avoid Crowded Areas

Crowded areas can increase your risk of coming into contact with bacteria that can cause epiglottitis. If possible, avoid large crowds and enclosed spaces. If you must go to a crowded area, wear a face mask to reduce your risk.

See Your Doctor Regularly

Regular checkups with your doctor can help you stay healthy and catch any potential problems early. Make sure to keep up with your regular checkups and follow your doctor's advice for staying healthy.

Conclusion

Epiglottitis is a serious condition that can be life-threatening if not treated quickly. Taking steps to reduce your risk and manage the condition can help you stay healthy and reduce your risk of developing epiglottitis. Follow these lifestyle tips to stay healthy and reduce your risk of epiglottitis.