The patient's symptoms of drooling, dyspnea, dysphagia, and toxic appearance, along with a 'thumb sign' on chest X-ray, are indicative of epiglottitis. This condition is often caused by Haemophilus influenzae type b (Hib) and is less common now due to the Hib vaccine.
La epiglotitis es una afección médica grave en la que la epiglotis se hincha debido a una infección bacteriana o viral. La epiglotis es un colgajo de cartílago en la base de la lengua que evita que los alimentos entren en la tráquea al tragar. Los síntomas incluyen dificultad para respirar, dificultad para tragar, babeo y voz apagada. La epiglotitis puede ser causada por varias bacterias, incluida Haemophilus influenzae tipo b (Hib). La vacunación contra Hib ha reducido drásticamente la incidencia de epiglotitis debido a Hib.
| Front | 3 year old child from recently immigrated family presents to the clinic with the following: Drooling Dyspnea Dysphagia Toxic appearance CXR shows "thumb" appearance What is the ∆sis? |
|---|---|
| Back | ↓ No Hib Vaccination |
Tags: microbiology
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