Epiglottitis laboratory findings: Difference between revisions
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==Overview== | ==Overview== | ||
Although there is no specific laboratory test for [[epiglottitis]], the following nonspecific test are helpful. These include,<ref name="pmid15983574">{{cite journal| author=Nickas BJ| title=A 60-year-old man with stridor, drooling, and "tripoding" following a nasal polypectomy. | journal=J Emerg Nurs | year= 2005 | volume= 31 | issue= 3 | pages= 234-5; quiz 321 | pmid=15983574 | doi=10.1016/j.jen.2004.10.015 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15983574 }}</ref><ref name="pmid27821835">{{cite journal| author=Rohrbach MR, Shabani S, Wieland A| title=Airway Obstruction Secondary to Emphysematous Epiglottitis: A Case Report. | journal=Am J Case Rep | year= 2016 | volume= 17 | issue= | pages= 834-836 | pmid=27821835 | doi= | pmc=5102242 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27821835 }} </ref> [[blood culture]], [[complete blood count]], [[arterial blood gases]] and [[throat culture]]. [[Throat culture]] should only be done in intubated patients.<ref name="pmid11464324">{{cite journal| author=Stroud RH, Friedman NR| title=An update on inflammatory disorders of the pediatric airway: epiglottitis, croup, and tracheitis. | journal=Am J Otolaryngol | year= 2001 | volume= 22 | issue= 4 | pages= 268-75 | pmid=11464324 | doi=10.1053/ajot.2001.24825 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11464324 }}</ref><ref name="pmid18435998">{{cite journal| author=Sobol SE, Zapata S| title=Epiglottitis and croup. | journal=Otolaryngol Clin North Am | year= 2008 | volume= 41 | issue= 3 | pages= 551-66, ix | pmid=18435998 | doi=10.1016/j.otc.2008.01.012 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18435998 }} </ref><ref name="pmid11233618">{{cite journal| author=Nakamura H, Tanaka H, Matsuda A, Fukushima E, Hasegawa M| title=Acute epiglottitis: a review of 80 patients. | journal=J Laryngol Otol | year= 2001 | volume= 115 | issue= 1 | pages= 31-4 | pmid=11233618 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11233618 }} </ref><ref name="pmid16623975">{{cite journal| author=Hafidh MA, Sheahan P, Keogh I, Walsh RM| title=Acute epiglottitis in adults: a recent experience with 10 cases. | journal=J Laryngol Otol | year= 2006 | volume= 120 | issue= 4 | pages= 310-3 | pmid=16623975 | doi=10.1017/S0022215106000399 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16623975 }} </ref> | Although there is no specific laboratory test for [[epiglottitis]], the following nonspecific test are helpful. These include,<ref name="pmid15983574">{{cite journal| author=Nickas BJ| title=A 60-year-old man with stridor, drooling, and "tripoding" following a nasal polypectomy. | journal=J Emerg Nurs | year= 2005 | volume= 31 | issue= 3 | pages= 234-5; quiz 321 | pmid=15983574 | doi=10.1016/j.jen.2004.10.015 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15983574 }}</ref><ref name="pmid27821835">{{cite journal| author=Rohrbach MR, Shabani S, Wieland A| title=Airway Obstruction Secondary to Emphysematous Epiglottitis: A Case Report. | journal=Am J Case Rep | year= 2016 | volume= 17 | issue= | pages= 834-836 | pmid=27821835 | doi= | pmc=5102242 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27821835 }} </ref> [[blood culture]], [[complete blood count]], [[arterial blood gases]] and [[throat culture]]. [[Throat culture]] should only be done in intubated patients.<ref name="pmid11464324">{{cite journal| author=Stroud RH, Friedman NR| title=An update on inflammatory disorders of the pediatric airway: epiglottitis, croup, and tracheitis. | journal=Am J Otolaryngol | year= 2001 | volume= 22 | issue= 4 | pages= 268-75 | pmid=11464324 | doi=10.1053/ajot.2001.24825 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11464324 }}</ref><ref name="pmid18435998">{{cite journal| author=Sobol SE, Zapata S| title=Epiglottitis and croup. | journal=Otolaryngol Clin North Am | year= 2008 | volume= 41 | issue= 3 | pages= 551-66, ix | pmid=18435998 | doi=10.1016/j.otc.2008.01.012 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18435998 }} </ref><ref name="pmid11233618">{{cite journal| author=Nakamura H, Tanaka H, Matsuda A, Fukushima E, Hasegawa M| title=Acute epiglottitis: a review of 80 patients. | journal=J Laryngol Otol | year= 2001 | volume= 115 | issue= 1 | pages= 31-4 | pmid=11233618 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11233618 }} </ref><ref name="pmid16623975">{{cite journal| author=Hafidh MA, Sheahan P, Keogh I, Walsh RM| title=Acute epiglottitis in adults: a recent experience with 10 cases. | journal=J Laryngol Otol | year= 2006 | volume= 120 | issue= 4 | pages= 310-3 | pmid=16623975 | doi=10.1017/S0022215106000399 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16623975 }} </ref> | ||
==Laboratory Findings== | ==Laboratory Findings== | ||
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*[[Blood culture]] | *[[Blood culture]] | ||
*[[Throat culture]] (should be done only in an intubated patient)<ref name="pmid11464324">{{cite journal| author=Stroud RH, Friedman NR| title=An update on inflammatory disorders of the pediatric airway: epiglottitis, croup, and tracheitis. | journal=Am J Otolaryngol | year= 2001 | volume= 22 | issue= 4 | pages= 268-75 | pmid=11464324 | doi=10.1053/ajot.2001.24825 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11464324 }}</ref><ref name="pmid18435998">{{cite journal| author=Sobol SE, Zapata S| title=Epiglottitis and croup. | journal=Otolaryngol Clin North Am | year= 2008 | volume= 41 | issue= 3 | pages= 551-66, ix | pmid=18435998 | doi=10.1016/j.otc.2008.01.012 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18435998 }} </ref><ref name="pmid11233618">{{cite journal| author=Nakamura H, Tanaka H, Matsuda A, Fukushima E, Hasegawa M| title=Acute epiglottitis: a review of 80 patients. | journal=J Laryngol Otol | year= 2001 | volume= 115 | issue= 1 | pages= 31-4 | pmid=11233618 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11233618 }} </ref><ref name="pmid16623975">{{cite journal| author=Hafidh MA, Sheahan P, Keogh I, Walsh RM| title=Acute epiglottitis in adults: a recent experience with 10 cases. | journal=J Laryngol Otol | year= 2006 | volume= 120 | issue= 4 | pages= 310-3 | pmid=16623975 | doi=10.1017/S0022215106000399 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16623975 }} </ref> may show [[H. influenzae]] or other [[bacteria]] | *[[Throat culture]] (should be done only in an intubated patient)<ref name="pmid11464324">{{cite journal| author=Stroud RH, Friedman NR| title=An update on inflammatory disorders of the pediatric airway: epiglottitis, croup, and tracheitis. | journal=Am J Otolaryngol | year= 2001 | volume= 22 | issue= 4 | pages= 268-75 | pmid=11464324 | doi=10.1053/ajot.2001.24825 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11464324 }}</ref><ref name="pmid18435998">{{cite journal| author=Sobol SE, Zapata S| title=Epiglottitis and croup. | journal=Otolaryngol Clin North Am | year= 2008 | volume= 41 | issue= 3 | pages= 551-66, ix | pmid=18435998 | doi=10.1016/j.otc.2008.01.012 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18435998 }} </ref><ref name="pmid11233618">{{cite journal| author=Nakamura H, Tanaka H, Matsuda A, Fukushima E, Hasegawa M| title=Acute epiglottitis: a review of 80 patients. | journal=J Laryngol Otol | year= 2001 | volume= 115 | issue= 1 | pages= 31-4 | pmid=11233618 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11233618 }} </ref><ref name="pmid16623975">{{cite journal| author=Hafidh MA, Sheahan P, Keogh I, Walsh RM| title=Acute epiglottitis in adults: a recent experience with 10 cases. | journal=J Laryngol Otol | year= 2006 | volume= 120 | issue= 4 | pages= 310-3 | pmid=16623975 | doi=10.1017/S0022215106000399 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16623975 }} </ref> may show [[H. influenzae]] or other [[bacteria]] | ||
*[[Complete blood count]] ([[CBC]]) with differential may be remarkable for a leukocytosis with neutrophilia | *[[Complete blood count]] ([[CBC]]) with differential may be remarkable for a [[leukocytosis]] with [[neutrophilia]] | ||
*[[Arterial blood gases]] may show respiratory acidosis | *[[Arterial blood gases]] may show [[respiratory acidosis]] | ||
==References== | ==References== | ||
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[[Category:Otolaryngology]] | [[Category:Otolaryngology]] | ||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
[[Category:Emergency medicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
Latest revision as of 21:36, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]
Overview
Although there is no specific laboratory test for epiglottitis, the following nonspecific test are helpful. These include,[1][2] blood culture, complete blood count, arterial blood gases and throat culture. Throat culture should only be done in intubated patients.[3][4][5][6]
Laboratory Findings
Laboratory investigation in the diagnosis of epiglottitis may include the following nonspecific tests:[1][2]
- Blood culture
- Throat culture (should be done only in an intubated patient)[3][4][5][6] may show H. influenzae or other bacteria
- Complete blood count (CBC) with differential may be remarkable for a leukocytosis with neutrophilia
- Arterial blood gases may show respiratory acidosis
References
- ↑ 1.0 1.1 Nickas BJ (2005). "A 60-year-old man with stridor, drooling, and "tripoding" following a nasal polypectomy". J Emerg Nurs. 31 (3): 234–5, quiz 321. doi:10.1016/j.jen.2004.10.015. PMID 15983574.
- ↑ 2.0 2.1 Rohrbach MR, Shabani S, Wieland A (2016). "Airway Obstruction Secondary to Emphysematous Epiglottitis: A Case Report". Am J Case Rep. 17: 834–836. PMC 5102242. PMID 27821835.
- ↑ 3.0 3.1 Stroud RH, Friedman NR (2001). "An update on inflammatory disorders of the pediatric airway: epiglottitis, croup, and tracheitis". Am J Otolaryngol. 22 (4): 268–75. doi:10.1053/ajot.2001.24825. PMID 11464324.
- ↑ 4.0 4.1 Sobol SE, Zapata S (2008). "Epiglottitis and croup". Otolaryngol Clin North Am. 41 (3): 551–66, ix. doi:10.1016/j.otc.2008.01.012. PMID 18435998.
- ↑ 5.0 5.1 Nakamura H, Tanaka H, Matsuda A, Fukushima E, Hasegawa M (2001). "Acute epiglottitis: a review of 80 patients". J Laryngol Otol. 115 (1): 31–4. PMID 11233618.
- ↑ 6.0 6.1 Hafidh MA, Sheahan P, Keogh I, Walsh RM (2006). "Acute epiglottitis in adults: a recent experience with 10 cases". J Laryngol Otol. 120 (4): 310–3. doi:10.1017/S0022215106000399. PMID 16623975.