Acute onset of high fever, sore throat, dyspnea; progresses to stridor, hoarseness, brassy cough, irritability, drooling.

  1. X-ray findings: Thumb-like appearance of the epiglottis ("Thumb sign").
  2. Peak age: 4 years
  3. Organisms: H. Flu and Strep
  4. Clinical: Abrupt onset, high fever, sore throat, drooling, head in "sniffing" position
  5. Treatment: Airway management, IV Antibiotics