Case contributed by Frank Gaillard

Patient Data

Age: Not-specific (child)

Soft tissue neck


Epiglottitis in a child demonstrating the so-called thumb sign of the swollen epiglottis. 

Annotated image

Dotted line outlines the swollen epiglottis in the shape of a thumb, which gives the name of the thumb sign of epiglottitis. 

Case Discussion

Lateral x-ray of the neck of the a child presenting with clinical epiglottitis demonstrates swelling of the epiglottis which projects as a rounded soft tissue structure into the hypopharynx. It represents the so-called thumb sign.

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