II. Definitions
- Uvulitis
- Uvular inflammation due to infection, irritation, malignancy, Trauma or allergy
- Quincke's Disease
- Primary Angioedema of the uvula
III. Etiology
-
Bacteria
- See Pharyngitis Causes (Uvulitis and Pharyngitis share similar Bacterial causes)
- Streptococcus Pyogenes
- Haemophilus Influenzae
- Streptococcus Pneumoniae
- Fusobacterium
- Prevotella intermedia
- Viral Pharyngitis Causes
- Angioedema (Quincke's Disease)
-
Trauma
- Iatrogenic (Endotracheal Intubation, upper endoscopy, suctioning, Anesthetic gas)
- Foreign Body Ingestion
- Tobacco or Marijuana Smoke Exposure
IV. Symptoms
- Foreign body Sensation in throat (worse when supine)
- Fever
- Pharyngitis
V. Signs
- Uvula swollen and red in midline (may approach grape size)
- Pharyngeal erythema
- Hoarse voice may be present
- Additional findings in severe cases
- Odynophagia
- Drooling
- Airway compromise
- Respiratory distress
VI. Management
- Management is based on suspected etiology
- See Pharyngitis Symptomatic Treatment
- Mild to moderate infectious cases
- Consider similar Antibiotics to those used in Streptococcal Pharyngitis
- Augmentin
- Severe infectious cases
- Ceftriaxone or
- Ampicillin-Sulbactam (Unasyn)
- Non-infectious management
- See Angioedema management if Quincke's Disease is suspected
- Eliminate Traumatic causes
VII. References
- Anderson (2019) Crit Dec Emerg Med 33(9): 3-10
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Related Studies
Concepts | Disease or Syndrome (T047) |
SnomedCT | 196544003, 300932000 |
Italian | Uvulite |
Japanese | 口蓋垂炎, コウガイスイエン |
Czech | Uvulitida |
English | uvulitis, Uvulitis, Uvulitis (disorder) |
Hungarian | Uvulitis |
Spanish | uvulitis (trastorno), uvulitis, Uvulitis |
Portuguese | Uvulite |
Dutch | uvulitis |
French | Uvulite |
German | Uvulitis |
Ontology: Uvular erythema (C0241608)
Concepts | Finding (T033) |
English | Uvular erythema |
Dutch | erytheem van de uvula |
French | Erythème de la luette |
German | Uvulaerythem |
Italian | Eritema uvulare |
Portuguese | Eritema uvular |
Spanish | Eritema de úvula |
Japanese | 口蓋垂紅斑, コウガイスイコウハン |
Czech | Uvulární erytém |
Hungarian | Uvularis erythema |
Ontology: Enlarged uvula (C1735326)
Concepts | Finding (T033) |
English | Enlarged uvula |
Dutch | vergrote huig |
French | Hypertrophie de la luette |
German | vergroesserte Uvula |
Italian | Uvula ingrandita |
Portuguese | Úvula aumentada |
Spanish | Uvula agrandada |
Japanese | 口蓋垂腫大, コウガイスイシュダイ |
Czech | Zvětšená vulva |
Hungarian | Megnagyobbodott uvula |
Ontology: Uvula swelling (C2729501)
Concepts | Finding (T033) |
English | uvula swelling, swelling of uvula (physical finding), swelling of uvula, Uvula swelling |
Czech | Otok uvuly |
Dutch | zwelling van de huig |
French | Gonflement de la luette |
German | Uvulaschwellung |
Hungarian | Uvula duzzanata |
Italian | Tumefazione dell'ugola |
Japanese | コウガイスイシュチョウ, 口蓋垂腫脹 |
Spanish | Tumefacción de la úvula |
Portuguese | Tumefacção da úvula |