A 19 months old boy presents with a swinging fever and irritability. The parents report that the child has been lethargic and has trouble eating. On examination, the child’s breathing is laboured, he is drooling and his neck is hyperextended. What are the most important differential diagnoses?

Of the relevant differential diagnoses, it is important to rule out epiglottitis, laryngotracheobronchitis, peritonsillar abscess and meningitis.

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This post was written by Omar Rifai