Is Supraglottitis the same as epiglottitis?

Is Supraglottitis the same as epiglottitis?

Epiglottitis (supraglottitis) is caused by a potentially life-threatening infection that produces upper airway swelling and obstruction. Formerly, the most common etiology was Haemophilus influenza type B (HIB), and the disease usually occurred in children 2 to 8 years of age.

What is Supraglottitis?

INTRODUCTION. Adult supraglottitis is a serious and potentially life-threatening condition, characterised by inflammation of the supraglottic structures of the larynx, namely the arytenoids, the false vocal cords, the laryngeal ventricles, the aryepiglottic folds and the epiglottis.

What is the treatment of choice for epiglottitis?

Ceftriaxone (Rocephin) Ceftriaxone is the antibiotic of choice (DOC) for epiglottitis. This agent is a third-generation cephalosporin with broad-spectrum activity against gram-negative organisms, lower efficacy against gram-positive organisms, and higher efficacy against resistant organisms.

How long does it take to recover from Supraglottitis?

With prompt treatment, most people recover from epiglottitis after about a week and are well enough to leave hospital after 5 to 7 days.

Is adult Supraglottitis contagious?

Is Epiglottitis Contagious? Epiglottitis itself is not contagious, but the common bacteria, Haemophilus influenzae type b (H. influenzae), that can cause it, are contagious. However, the Hib vaccine protects most children against these bacteria.

What is the role of CT in the diagnosis of supraglottitis?

Multiple loculated fluid-density collections consistent with abscesses were seen in one patient. Although the diagnosis of supraglottitis is generally made on the basis of the patient’s history and by direct endoscopy, CT may be used to confirm the diagnosis when an adequate laryngoscopic examination cannot be performed.

What are the treatment options for supraglottitis?

Management of adult supraglottitis should be undertaken in hospital, preferably in a high dependency setting and involves using supplementary oxygen, nebulised adrenaline (1:1000 dilution), and intravenous steroids. Blood cultures should be done as well as a culture swab taken gently from the oropharynx.

What is the incidence of supraglottitis in the US?

Although the incidence of supraglottitis has decreased in children since the introduction of the Haemophilus influenza type B (HiB) vaccine, most epidemiological studies suggest the incidence in adults has stayed the same 1 or increased, 2 with figures for the annual incidence varying from 1.1 to 4.7 per 100 000.

Which radiographic findings are characteristic of supraglottitis (Hunchback)?

Lateral radiograph of the neck in an adult with supraglottitis shows fullness of the aryepiglottic folds, which appear ill defined . The epiglottis contour remains sharp with no evidence of prevertebral edema to suggest a retropharyngeal or prevertebral space abscess.