Acute epiglottitis mimicking esophageal foreign body

When epiglottitis presents in association with a normal or near-normal body temperature, the symptoms may simulate those of an esophageal foreign body so closely that an esophagram is requested. A preliminary evaluation of the epiglottis on the foreign body series or at fluoroscopy can prevent the potential morbidity associated with performing an esophagram on a patient who actually has epiglottitis.