Does laryngitis cause a fever?

Written by Zhang Jun
Otolaryngology
Updated on September 15, 2024
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Laryngitis can cause fever and is considered an emergency in otolaryngology, prevalently seen in infants and young children. It can lead to sudden high fever, with temperatures above 38°C, severe throat pain, hoarse voice, bark-like coughing, and in severe cases, it can cause breathing difficulties, and even lead to choking and death. Examination may reveal evident congestion and swelling of the bilateral vocal cords, and incomplete closure of the glottis, resulting in the hoarseness of the voice. In terms of treatment, it is primarily necessary to use anti-inflammatory treatment targeted at symptoms, as laryngitis is generally caused by a bacterial infection, so patients can effectively use oral cephalosporin antibiotics. Additionally, corticosteroids are also used to reduce local congestion and swelling. During treatment, it is essential to closely monitor the patient's temperature and respiratory condition. If the temperature exceeds 38.5°C, antipyretic medication should be administered, and in cases of breathing difficulties, tracheotomy may be necessary. (Medications should be used under the guidance of a doctor.)

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Written by Bai Yan Hui
Pediatrics
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What tests are done for acute laryngitis in children?

Generally speaking, laryngitis is classified as an inflammatory disease. To determine whether it might be a bacterial or viral infection, we typically recommend a complete blood count and C-reactive protein test. Based on the white blood cell count, the classification of white blood cells, and the level of C-reactive protein, we can make an initial judgment about whether the cause is likely viral or bacterial, and then proceed with the corresponding treatment. Additionally, laryngoscopy can also be performed to examine the condition of the laryngeal tissues and other structures for differential diagnosis.

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Written by Li Rui
Otolaryngology
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Does laryngitis require infusion?

Laryngitis is a relatively common otolaryngological disease. In terms of treatment, most patients do not require infusion therapy; only a small number of patients might need to consider infusion, primarily based on the specific severity of the condition, clinical symptoms, and overall health condition. If the severity of the laryngitis is mild and the clinical symptoms are not significant, some patients may recover on their own, while others may need to combine oral medication and nebulization treatment. However, if the severity of the laryngitis is particularly severe, accompanied by symptoms such as hoarseness, breathing difficulties, and swallowing obstruction, there may be a need to consider infusion therapy.

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Written by Bai Yan Hui
Pediatrics
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What foods should not be eaten with laryngitis?

If it's just a simple case of laryngitis, depending on the general condition of the child, if it's only hoarseness and the overall symptoms are not severe, there are usually no special restrictions. However, if there is significant laryngeal obstruction, difficulty in swallowing, or difficulty in breathing, a liquid diet should be the main focus. A light diet is easier for the child to accept and helps with a quicker recovery. The general rule is to avoid spicy and irritating foods temporarily, as these can exacerbate swelling in the throat and hinder recovery. This is something that needs attention.

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Written by Zhang Jun
Otolaryngology
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Does laryngitis require nebulization?

Laryngitis can be treated with nebulized inhalation, which is very effective. Laryngitis is a common and frequent disease in otolaryngology, and it most commonly occurs in infants and young children. This is because the mucous membrane of the pharynx in infants and young children is relatively lax. Once their immunity and resistance decreases, bacteria or viruses can invade, leading to congestion and edema of the pharyngeal mucous membrane. It also causes the patient to develop fever and pain in the throat, predominantly pain during swallowing. Additionally, the patient may experience a barking cough, hoarse voice, and in severe cases, it can lead to breathing difficulties, suffocation, and even death. Upon examination, obvious congestion and swelling of the pharyngeal mucous membrane can be found, particularly severe on both vocal cords, with good vocal cord movement but incomplete closure. In terms of treatment, the patient first needs symptomatic anti-inflammatory treatment, and can also use nebulized inhalation to help reduce the congestion and swelling of the throat, which generally improves gradually over about a week.

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Written by Li Rui
Otolaryngology
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What are the symptoms of laryngitis?

Laryngitis is a relatively common clinical disease with a variety of symptoms and individual differences. Common symptoms include pain in the throat area. If the pain is severe and accompanied by noticeable swelling, it may affect swallowing and breathing, and could lead to swallowing obstruction and breathing difficulties. Another common symptom is hoarseness, especially seen in acute laryngitis, as it can cause congestion and swelling of the vocal cords, which easily leads to hoarseness. Generally, when symptoms of laryngitis appear, it is advisable to visit an otolaryngology department promptly for a laryngoscopy to assess the extent of the inflammatory response.