II. Definitions

  1. Uvulitis
    1. Uvular inflammation due to infection, irritation, malignancy, Trauma or allergy
  2. Quincke's Disease
    1. Primary Angioedema of the uvula

III. Etiology

  1. Bacteria
    1. See Pharyngitis Causes (Uvulitis and Pharyngitis share similar Bacterial causes)
    2. Streptococcus Pyogenes
    3. Haemophilus Influenzae
    4. Streptococcus Pneumoniae
    5. Fusobacterium
    6. Prevotella intermedia
  2. Viral Pharyngitis Causes
  3. Angioedema (Quincke's Disease)
  4. Trauma
    1. Iatrogenic (Endotracheal Intubation, upper endoscopy, suctioning, anesthetic gas)
    2. Foreign Body Ingestion
    3. Tobacco or Marijuana Smoke Exposure

IV. Symptoms

  1. Foreign body sensation in throat (worse when supine)
  2. Fever
  3. Pharyngitis

V. Signs

  1. Uvula swollen and red in midline (may approach grape size)
  2. Pharyngeal erythema
  3. Hoarse voice may be present
  4. Additional findings in severe cases
    1. Odynophagia
    2. Drooling
    3. Airway compromise
    4. Respiratory distress

VI. Management

  1. Management is based on suspected etiology
  2. See Pharyngitis Symptomatic Treatment
  3. Mild to moderate infectious cases
    1. Consider similar antibiotics to those used in Streptococcal Pharyngitis
    2. Augmentin
  4. Severe infectious cases
    1. Ceftriaxone or
    2. Ampicillin-Sulbactam (Unasyn)
  5. Non-infectious management
    1. See Angioedema management if Quincke's Disease is suspected
    2. Eliminate Traumatic causes

VII. References

  1. Anderson (2019) Crit Dec Emerg Med 33(9): 3-10

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Ontology: Uvulitis (C0042174)

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