Croup is the most frequent cause of upper airway obstruction in infancy and childhood, especially during the first three years of life. The disease is sustained by a viral inflammation of the subglottic region. Patients usually present with typical barking cough, an intermittent or continuous inspiratory stridor, a variable respiratory distress and a moderate fever. Most patients do not need hospitalization and improve with humidification and steroid inhalation; some refractory obstructions require epinephrine inhalation and dexamethasone administration. The endotracheal intubation is indicated in approximately 3% of children admitted to hospital. Epiglottitis results from the inflammation of the supraglottic structures, caused primarily by Haemophilus influenzae type B. Unlike croup, it develops rapidly and leads to a severe airway obstruction so that it is always necessary to perform a rapid endotracheal intubation.
|Translated title of the contribution||Upper airway obstruction: Croup and epiglottitis|
|Number of pages||17|
|Journal||Acta Medica Romana|
|State||Published - 1999|
ASJC Scopus subject areas