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Acute epiglottitis is the result of localized infection of the supraglottic larynx, usually by Haemophilus influenzae. This results in swelling of the epiglottis that obstructs the laryngeal inlet.
If there is suspicion of acute epiglottitis the child should be admitted immediately because of the danger of airway obstruction. Follow the instructions under "management of epiglottitis".