Acute Epiglottitis Overview

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Questions and Answers

What is the primary causative microorganism for acute epiglottitis?

  • Candida albicans
  • Escherichia coli
  • Streptococcus pneumoniae
  • Haemophilus influenzae type b (correct)

What is the first step in the pathophysiology of acute epiglottitis?

  • Infection and inflammation of tissues (correct)
  • Development of respiratory distress
  • Airway obstruction
  • Edema and swelling of the epiglottis

Which of the following accurately describes the result of edema in acute epiglottitis?

  • It promotes rapid recovery from the infection.
  • It leads to increased airflow through the glottis.
  • It decreases the risk of airway obstruction.
  • It can cause stridor due to turbulent airflow. (correct)

How is acute epiglottitis primarily transmitted?

<p>Via respiratory droplets (B)</p> Signup and view all the answers

Which population is at the highest risk of transmission of Haemophilus influenzae type b?

<p>Unvaccinated children (D)</p> Signup and view all the answers

What can happen if acute epiglottitis is not treated immediately?

<p>Complete airway blockage leading to death (C)</p> Signup and view all the answers

Which of the following is NOT a possible organism responsible for acute epiglottitis?

<p>Mycobacterium tuberculosis (C)</p> Signup and view all the answers

What is a potential outcome of airway obstruction caused by acute epiglottitis?

<p>Hypoxia (C)</p> Signup and view all the answers

What is the primary reason children aged 2-7 years are more affected by acute epiglottitis?

<p>Their airways are smaller and more prone to obstruction. (B)</p> Signup and view all the answers

Which factor significantly reduces the incidence of acute epiglottitis in children?

<p>Vaccination against Haemophilus influenzae type b (Hib). (D)</p> Signup and view all the answers

Which of the following groups is at the highest risk for developing acute epiglottitis due to immunosuppression?

<p>People with HIV/AIDS. (D)</p> Signup and view all the answers

What is the most common infectious agent associated with acute epiglottitis?

<p>Haemophilus influenzae type b (Hib). (A)</p> Signup and view all the answers

How does acute epiglottitis primarily affect airflow in patients?

<p>Through swelling that blocks airflow. (B)</p> Signup and view all the answers

Which option is considered a risk factor for acute epiglottitis in adults?

<p>Close contact with unvaccinated individuals. (C)</p> Signup and view all the answers

Which of the following causes of acute epiglottitis is specifically noted for immunocompromised patients?

<p>Fungal infections. (B)</p> Signup and view all the answers

What symptom is commonly associated with the airway obstruction caused by acute epiglottitis?

<p>Stridor. (B)</p> Signup and view all the answers

Flashcards

What is Acute Epiglottitis?

A serious medical condition where the epiglottis, a flap of tissue in the throat, swells and blocks airflow to the lungs.

What is the most common cause of Acute Epiglottitis?

Haemophilus influenzae type b (Hib) is the primary culprit. Other possible causes include Streptococcus pneumoniae and fungal infections in individuals with weak immune systems.

How does Acute Epiglottitis develop?

The infection triggers an immune response in the epiglottis, causing inflammation and swelling. This swelling can obstruct the airway, leading to breathing difficulties.

What is the characteristic sound of Acute Epiglottitis?

Swelling of the epiglottis obstructs the glottis, the opening of the windpipe, leading to a high-pitched wheezing sound called stridor.

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Why is prompt medical attention essential for Acute Epiglottitis?

The swelling progresses rapidly, sometimes within a few hours, making prompt medical attention crucial to prevent complete airway blockage and life-threatening complications.

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How does Acute Epiglottitis spread?

It spreads through respiratory droplets, such as saliva or mucus, released when an infected person coughs or sneezes.

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Who is at higher risk of Acute Epiglottitis?

Vaccination against Hib significantly reduces the risk of developing Acute Epiglottitis. Unvaccinated children are more vulnerable.

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Summarize Acute Epiglottitis.

A life-threatening condition that requires prompt medical attention. The swelling blocks airflow to the lungs, leading to breathing difficulties. It's most commonly caused by Hib bacteria.

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What are the most common causes of acute epiglottitis?

Haemophilus influenzae type b (Hib) is the most common cause of acute epiglottitis, but other bacteria like Streptococcus pneumoniae and fungi can also cause it in people with weakened immune systems.

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How does acute epiglottitis affect the airway?

Acute epiglottitis is caused by inflammation of the epiglottis, which is a small flap of tissue that covers the windpipe, the passage for air. The swelling blocks airflow, leading to difficulty breathing, wheezing, and even respiratory failure.

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How is acute epiglottitis usually spread?

The spread of acute epiglottitis from person to person is possible, but much less likely in adults due to previous exposure to the bacteria or vaccination.

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Which age group is most at risk of developing acute epiglottitis?

Children aged 2-7 years are most susceptible to acute epiglottitis because their airways are smaller and more prone to obstruction.

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What is the role of vaccination in preventing acute epiglottitis?

Immunization against Hib has significantly reduced the occurrence of acute epiglottitis in children. Therefore, unvaccinated or incompletely vaccinated children are at an increased risk.

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Who are at a higher risk of developing acute epiglottitis due to weakened immunity?

People with weakened immune systems, such as those with HIV/AIDS, undergoing chemotherapy, or taking immunosuppressant drugs, are more susceptible to epiglottitis due to bacterial or fungal infections.

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What is the main factor in close contact with someone infected with Hib?

Close contact with individuals infected with Hib can increase the risk of transmission.

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What are the causes of acute epiglottitis?

Acute epiglottitis is often caused by Hib, but other bacteria and fungi can also be responsible, especially in individuals with weaker immune systems.

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Study Notes

Acute Epiglottitis

  • A life-threatening condition where the epiglottis swells, blocking airflow to the lungs.
  • A medical emergency.

Most Likely Cause

  • The primary cause is Haemophilus influenzae type b (Hib).
  • Other possible causes include Streptococcus pneumoniae and fungal infections in immune-compromised individuals.
  • Widespread vaccination against Hib significantly reduced the incidence of acute epiglottitis caused by this bacterium.

Pathophysiology

  • Infection triggers an immune response in the epiglottis, leading to inflammation.
  • Inflammation causes edema (swelling) in the epiglottis, arytenoids, and surrounding tissues.
  • The swelling rapidly obstructs the airway.
  • Obstruction can lead to stridor (a high-pitched wheezing sound).
  • Severe cases cause complete airway blockage leading to respiratory distress, hypoxia, and potentially death if not treated immediately.

Disease Transmission

  • Spread through respiratory droplets (e.g., from sneezing or coughing of an infected person).
  • The risk of transmission is higher in unvaccinated children.

Risk Factors

  • Age: Children aged 2-7 years are most affected due to smaller, more susceptible airways.
  • Lack of Hib Vaccination: Unvaccinated or incompletely vaccinated children are at a higher risk of infection.
  • Immunocompromised individuals: People with weakened immune systems (e.g., HIV/AIDS, undergoing chemotherapy).
  • Exposure to Infectious Carriers: Close contact with someone infected with Hib increases the risk.

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