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"A Case of Recurrent Abdominal Pain" |
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Case of the Week 269 
What's the most likely diagnosis?
- 6 year-old with difficulty breathing and drooling
- Fracture of the hyoid bone
- Impacted wisdom tooth
- Croup
- Epiglottitis
- Enlarged adenoids
Answer:
3. Epiglottitis
More (Click Discussion Tab)
Epiglottitis
General Considerations
- Acute bacterial epiglottitis
- Life-threatening, medical emergency due to infection with edema of epiglottis and aryepiglottic folds
- Organism
- Introduction of Haemophilus influenzae type B vaccine in 1985 has led to marked decrease in number of cases of epiglottitis
- Still remains the most common cause
- Also caused by
- Pneumococcus
- Streptococcus group A
- Viral infection – herpes simplex 1 and parainfluenza
- May also be caused by thermal injury and angioneurotic edema
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