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Symptoms

By Mayo Clinic staff

Symptoms in children
In children, signs and symptoms of epiglottitis may develop within a matter of hours, including:

  • Fever
  • Severe sore throat
  • Difficult and painful swallowing
  • Drooling due to severe pain when swallowing
  • Anxious, restless behavior
  • Greater comfort when sitting up or leaning forward

Symptoms in adults
For adults, signs and symptoms may develop more slowly, over days rather than hours. Signs and symptoms may include:

  • Severe sore throat
  • A muffled or hoarse voice
  • Harsh, raspy breathing
  • Difficulty breathing

When to see a doctor
Epiglottitis is a medical emergency. If you or someone you know suddenly has trouble breathing and swallowing, call your local emergency number or go to the nearest hospital emergency department. Try to keep the person quiet and upright, because this position may make it easier to breathe. Don't try to examine the person's throat yourself. This can make matters worse.

References
  1. Woods CR. Epiglottitis (supraglottitis): Clinical features and diagnosis. http://www.uptodate.com/home/index.html. Accessed March 12, 2010.
  2. Woods CR. Epiglottitis (supraglottitis): Treatment and prevention. http://www.uptodate.com/home/index.html. Accessed March 12, 2010.
  3. Epiglottitis. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/print/sec08/ch090/ch090l.html. Accessed March 16, 2010.
  4. Is your child protected against Hib? Centers for Disease Control and Prevention. http://www.cdc.gov/Features/HibDisease/. Accessed March 16, 2010.
  5. Haemophilus influenzae type b (Hib) vaccine. Centers for Disease Control and Prevention. http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-hib.pdf. Accessed March 12, 2010.
  6. Sobol SE, et al. Epiglottitis and croup. Otolaryngologic Clinics of North America. 2008;41:551.
  7. Lustig LR, et al. Ear, nose, and throat disorders. In: McPhee SJ, et al. Current Medical Diagnosis and Treatment. 49th ed. New York, N.Y.: McGraw-Hill Medical; 2010. http://www.accessmedicine.com/content.aspx?aID=2356. Accessed March 12, 2010.
  8. 8. Rubin MA, et al. Pharyngitis, sinusitis, otitis, and other upper respiratory tract infections. In: Fauci AS, et al. Harrison's Principles of Internal Medicine. 17th ed. New York, N.Y.: McGraw-Hill Medical; 2008. http://www.accessmedicine.com/content.aspx?aID=2883486. Accessed March 12, 2010.
  9. Hoecker JL (expert opinion). Mayo Clinic, Rochester, Minn. March 17, 2010.
  10. Steckelberg JM (expert opinion). Mayo Clinic, Rochester, Minn. March 23, 2010.
DS00529 May 4, 2010

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