Uvulitis

Causes

• Localised trauma following intubation, endoscopy
• Infection, especially Haemophilus influenzae type B and group A streptococci
• Allergic reaction
• Reported in association with cannabis
• There is an association between uvulitis and epiglottitis

Management

General

• Correct positioning to minimise airway obstruction, if present (seated upright, stopped forward)
• Oxygen if required
• Ensure adequate hydration
• Reassurance and nasal breathing

If thought to be infective

• Need to consider and exclude epiglottitis
• Treat with antibiotics

If thought to be allergic reaction

• Steroids
• Antihistamines
• Adrenaline if evidence of airway obstruction (as per standard anaphylaxis guidelines)

Admit if concerns re progression, or any evidence of airway compromise