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Delayed Presentation of Thermal Epiglottitis in a Toddler: A Case Report

Nouf Alkaabi1,2, Nouf Aljahdali1,2, Amani Algouhi1,3

  • 1Ministry of National Guards Health Affairs (MNGHA), King Abdulaziz Medical City Riyadh, Riyadh, SAU.

Cureus
|April 25, 2023
PubMed

Insights

Pediatric airway obstruction from scalding liquid ingestion can be serious. Early suspicion and careful examination are crucial for timely diagnosis and management of airway emergencies in children.

Area of Science:

  • Pediatric Emergency Medicine
  • Otolaryngology
  • Toxicology

Background:

  • Airway obstruction in children can lead to severe outcomes.
  • Delayed recognition of symptoms can worsen prognosis.
  • Ingestion of scalding liquids is a critical risk factor.

Observation:

  • Signs of airway obstruction may not be immediate.
  • Distinguishing infectious from non-infectious epiglottitis requires careful clinical assessment.
  • Nonverbal children present diagnostic challenges.

Findings:

  • Thermal epiglottitis can be complicated by secondary bacterial infections.
  • Overlap in symptoms between infectious and non-infectious causes necessitates thorough evaluation.
  • History and physical examination are paramount for diagnosis.

Implications:

  • Increased physician suspicion is vital for children with a history of scalding liquid ingestion.
  • A multidisciplinary team approach is recommended for managing these complex cases.
  • Referral to specialized centers ensures optimal care for severe airway compromise.

Keywords:
airwayburnent - ear nose and throatpediatrics emergencythermal epiglottitis

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