 H. influenzae B, children, not common, vaccine. (strep)  Fever, dysphagia, drooling, hoarseness, stridor.  Complete obstruction → urgent endotracheal intubation.

Demographics: Typical of 6-12yo, Rare in vaccinated kids. Stable in adults.

Aetiology: Haem. Influenzae, Strep pneumo, Staph A.

Clinical Features

• 24hr onset. Appear uncomfortable/toxic.
• Tripod, drooling, dysphagia, stridor, hoarseness, resp difficulty.

Clinical Features

• Inadequate Hib immunisation or immunocompromised
• High fever and systemically unwell
• Muffled voice
• Hyperextension of neck
• Dysphagia
• Pooling of secretions, drooling
• Absent cough
• Low pitched expiratory stridor or stertor

Management

7-10 days (IV ceftriaxone → PO amoxiclav)