Epiglottitis laboratory findings: Difference between revisions
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Laboratory investigation in the diagnosis of [[epiglottitis]] may include the following nonspecific tests:<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> | Laboratory investigation in the diagnosis of [[epiglottitis]] may include the following nonspecific tests:<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]] | *[[Blood culture]] | ||
*[[Throat culture]] (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> may show [[H. influenzae]] or other [[bacteria]] | *[[Throat culture]] (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 | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Laboratory Findings
Laboratory investigation in the diagnosis of epiglottitis may include the following nonspecific tests:[1][2]
- Blood culture
- Throat culture (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
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.