Another sore throat

A 46 year old man presents with throat discomfort and pain upon swallowing since last night.

These symptoms rapidly worsened over time, such he now feels as if his throat is "closing up". The discomfort is worse on lying down.

He also feels weak and ill.

His medical history is unremarkable, while he has smoked a total of 20 pack years.

Select Relevant Investigations
Lateral X-ray neck (soft tissue view)

Performed

The lateral soft-tissue x-ray of the neck is positive for the "thumb sign".
Full Blood Count

Performed

WBC/DC: 10,000/ mm3
N: 82%
L: 18%
Hb: 13 g/dl
Plt: 225,000/mm3
Blood cultures

Performed

The culture reports will be available in 3 days. The gram stain is negative.
Fibreoptic laryngoscopy

Performed

A red, swollen epiglottis is visualized.

Select Relevant Management
Nil orally
Intubation stat
IV Antibiotics
Steroids