Epiglottitis causes: Difference between revisions

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==Overview==
==Overview==
The most common infectious causes of acute epiglottitis include ''[[Haemophilus influenzae]]'', ''[[Streptococcus pneumoniae]]'', [[hemolysis|beta-hemolytic]] [[streptococci]], ''[[Staphylococcus aureus]]'', ''[[Moraxella catarrhalis]]'', ''[[Pseudomonas aeruginosa]]'', ''[[Candida albicans]]'', ''[[Klebsiella pneumoniae]]'', ''[[Pasteurella multocida]]'', and ''[[Neisseria|Neisseria spp.]]''.


==Causes==
==Causes==


[[Epiglottitis]] is a life-threatening [[disease]]. The [[epiglottis]] is a piece of [[cartilage]] at the back of the [[tongue]] that closes off the [[windpipe]] when [[swallowing]]. It keeps food from entering the [[airways]], so you don't [[cough]] or [[choke]] after [[swallowing]].
===Life-Threatening Causes===
 
Epiglottitis is a life-threatening condition and must be treated as such irrespective of the causes.  Life-threatening conditions may result in death or permanent disability within 24 hours if left untreated.
 
===Common Causes===
 
* ''[[Haemophilus influenzae]]''
* ''[[Staphylococcus aureus]]''
* [[hemolysis|Beta-hemolytic]] [[streptococci]]
* ''[[Streptococcus pneumoniae]]''
* ''[[Moraxella catarrhalis]]''
* ''[[Pseudomonas aeruginosa]]''
* ''[[Candida albicans]]''
* ''[[Klebsiella pneumoniae]]''
 
===Causes by Organ System===
 
{|style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" |'''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | No underlying causes
|-
|bgcolor="LightSteelBlue"| '''Chemical/Poisoning'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Dental'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Dermatologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Ear Nose Throat'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Endocrine'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Environmental'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Genetic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Hematologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Iatrogenic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal/Orthopedic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Neurologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Nutritional/Metabolic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Ophthalmologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Overdose/Toxicity'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Psychiatric'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Pulmonary'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Renal/Electrolyte'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Rheumatology/Immunology/Allergy'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Sexual'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Trauma'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Urologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
|bgcolor="Beige"| No underlying causes
|-
|}
 
===Causes in Alphabetical Order===
 
{{col-begin|width=80%}}
{{col-break|width=33%}}
 
* [[Adult vallecular cyst]]
* [[Aeromonas hydrophilia]]
* [[Allergic reactions]]
* [[Aspergillus]]
* [[Bacteroides melaninogenicus]]
* [[Beta-Hemolytic streptococcus]]
* [[Blind finger sweep]]
* [[Candida albicans]]
* [[Caustic ingestion]]
* [[Chloramines in pool water]]
* [[Citrobacter diversus]]
* [[Cytomegalovirus]]
* [[Eikenella corrodens]]
* [[Enterobacter cloacae]]
* [[Epstein-Barr virus]]


[[Epiglottitis]] is [[swelling]] of the [[epiglottis]], which leads to [[breathing]] problems. [[Swelling]] of the [[epiglottis]] is usually caused by the [[bacteria]] [[Haemophilus influenzae]] ([[H. influenzae]]), although it may be caused by other [[bacteria]] or [[viruses]] such as ''[[Streptococcus pneumoniae]]'' or ''[[Streptococcus pyogenes]]''. [[Upper respiratory infections]] can lead to [[epiglottitis]]. Medicines or [[diseases]] that weaken the [[immune system]] can make adults more prone to [[epiglottitis]].
{{col-break|width=33%}}


[[Epiglottitis]] is most common in children between 2 and 6 years old. Rarely, [[epiglottitis]] can occur in adults, and it may be easily overlooked in such patients.
* [[Escherichia coli]]
* [[Fusobacterium]]
* [[Gastroesophageal reflux]]
* [[Haemophilus influenzae]]
* [[Haemophilus parainfluenzae]]
* [[Hereditary angioedema]]
* [[Herpes simplex virus]]
* [[Hot water ingestion or inhalation]]
* [[Kingella kingae]]
* [[Klebsiella pneumoniae]]
* [[Laryngeal lymphangioma]]
* [[Laryngeal mask]]
* [[Moraxella catarrhalis]]
* [[Mycobacterium tuberculosis]]
* [[Neisseria meningitidis]]


The occurrence of [[epiglottitis]] has decreased dramatically in the United States since the [[H. influenzae type B]] ([[Hib]]) [[Hib vaccine|vaccine]] became a routine childhood [[immunization]] in the late 1980s.
{{col-break|width=33%}}
 
* [[Pasteurella multocida]]
* [[Peptostreptococcus]]
* [[Propionibacterium]]
* [[Pseudomonas aeruginosa]]
* [[Serratia marcescens]]
* [[Smoking illicit drugs]]
* [[Staphylococcus aureus]]
* [[Stomatococcus mucilaginosus]]
* [[Streptococcus pneumoniae]]
* [[Streptococcus pyogenes]]
* [[Streptococcus viridans]]
* [[Streptococus milleri]]
* [[Tonsillectomy complication]]
* [[Varicella-zoster virus]]
* [[Vibrio vulnificus]]
 
{{col-end}}


==References==
==References==
{{Reflist|2}}
 
{{reflist|2}}


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[[Category:Laryngology]]
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[[Category:Infectious disease]]
[[Category:Infectious disease]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
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Revision as of 20:36, 29 May 2014

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

The most common infectious causes of acute epiglottitis include Haemophilus influenzae, Streptococcus pneumoniae, beta-hemolytic streptococci, Staphylococcus aureus, Moraxella catarrhalis, Pseudomonas aeruginosa, Candida albicans, Klebsiella pneumoniae, Pasteurella multocida, and Neisseria spp..

Causes

Life-Threatening Causes

Epiglottitis is a life-threatening condition and must be treated as such irrespective of the causes. Life-threatening conditions may result in death or permanent disability within 24 hours if left untreated.

Common Causes

Causes by Organ System

Cardiovascular No underlying causes
Chemical/Poisoning No underlying causes
Dental No underlying causes
Dermatologic No underlying causes
Drug Side Effect No underlying causes
Ear Nose Throat No underlying causes
Endocrine No underlying causes
Environmental No underlying causes
Gastroenterologic No underlying causes
Genetic No underlying causes
Hematologic No underlying causes
Iatrogenic No underlying causes
Infectious Disease No underlying causes
Musculoskeletal/Orthopedic No underlying causes
Neurologic No underlying causes
Nutritional/Metabolic No underlying causes
Obstetric/Gynecologic No underlying causes
Oncologic No underlying causes
Ophthalmologic No underlying causes
Overdose/Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal/Electrolyte No underlying causes
Rheumatology/Immunology/Allergy No underlying causes
Sexual No underlying causes
Trauma No underlying causes
Urologic No underlying causes
Miscellaneous No underlying causes

Causes in Alphabetical Order

References