II. Etiologies

  1. Viral infection (Most common)
    1. Parainfluenza Virus
    2. Rhinovirus
    3. Influenza Virus
    4. Adenovirus
    5. Coronavirus
  2. Bacterial Infection
    1. Acute streptococcal pharungitis
    2. Diphtheria (rare in United States due to Vaccine)
    3. Moraxella catarrhalis
    4. Haemophilus Influenzae
  3. Atypical infections
    1. Coccidioides immitis
    2. Cryptococcus neoformans
    3. Tuberculosis
    4. Blastomycosis
    5. Histoplasmosis

III. Symptoms

  1. Hoarseness or harsh voice
  2. Aphonia (voice breaks intermittently)
  3. Upper respiratory symptoms variably present
  4. Leukocytosis if Bacterial

IV. Differential Diagnosis

V. Management

  1. Increased household humidity
  2. Voice rest
  3. Increase hydration
  4. Analgesics
  5. Antibiotics have not been shown to be beneficial
    1. Reveiz (2007) Cochrane Database Syst Rev (2): CD004783
    2. Schaleaen (1985) Ann Otol Rhinol Laryngol 94:14 [PubMed]
    3. Schaleaen (1993) Ann Otol Rhinol Laryngol 102:209 [PubMed]
  6. Indications for ENT Consultation
    1. Hoarseness persisting beyond 2 weeks

VI. Course

  1. Viral upper repiratory infection: 3-8 days

VII. References

  1. Caserta in Mandell (2000) Infectious Disease, p. 662

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Ontology: Acute laryngitis (C0001327)

Definition (NCI) An acute inflammatory process affecting the larynx. It is caused by bacteria, viruses, or vocal strain. Signs and symptoms include sore throat, cough, swallowing difficulties, and hoarseness.
Concepts Disease or Syndrome (T047)
ICD9 464.0
ICD10 J04.0
SnomedCT 195690008, 155506009, 6655004
Dutch laryngitis acuut NAO, laryngitis (acuut), acute laryngitis, Acute laryngitis
French Laryngite aiguë SAI, Laryngite (aiguë), Laryngite aiguë
German Laryngitis (akut), akute Laryngitis, Laryngitis akut NNB, Akute Laryngitis
Italian Laringite acuta NAS, Laringite (acuta), Laringite acuta
Portuguese Laringite aguda NE, Laringite aguda
Spanish Laringitis (aguda), Laringitis aguda NEOM, Laringitis aguda, laringitis aguda, SAI (trastorno), laringitis aguda, SAI, laringitis aguda (trastorno), laringitis aguda
Japanese 喉頭炎(急性), 急性喉頭炎, 急性喉頭炎NOS, キュウセイコウトウエン, コウトウエンキュウセイ, キュウセイコウトウエンNOS
English laryngitis acute, acute laryngitis (diagnosis), acute laryngitis, Laryngitis (acute), Laryngitis acute NOS, Laryngitis (acute) NOS, Laryngitis;acute, Acute laryngitis, Acute laryngitis NOS (disorder), Laryngitis, Acute laryngitis (disorder), Acute Laryngitis, Acute laryngitis NOS
Czech Akutní laryngitida, Akutní laryngitida NOS, Akutní zánět hrtanu
Korean 급성 후두염
Hungarian Laryngitis (acut), Laryngitis acut k.m.n., heveny gégegyulladás