Croup and Epiglottitis Treatment And Complication
Croup and Epiglottitis
In this article we will know the difference between Croup and Epiglottitis
Croup is acute laryngotracheobronchitis, laryngotracheitis ” viral croup ” is the most common from infectious croup.
Parainfluenza virus, respiratory syncytial virus, influenza virus during epidemics and rhinovirus.
Age and incidence:
3 month to 3-5 years in cold weather.
– Onset is gradual and progresses slowly, following 1 to several days after URTI.
– A brassy cough, hoarseness of voice and inspiratory stridor.
– Low-grade fever.
– Increase respiratory and pulse rate.
– Restlessness, hypoxia, and cyanosis.
History and physical examination.
Later sign of increased PaCO2 ” blood gases analysis”.
Normal to mild leukocytosis.
X-ray of the neck ( subglottic edema).
High humidification with oxygen.
Increase fluid intake ” good hydration”.
Racemic epinephrine nebulizer.
Airway obstruction ” need nasotracheal intubation.
Caused mainly by H. Influenza, other agents include pneumococci and staph aureus.
Age:- 3-10 years with seasonal variations.
– Onset and progression are rapid.
– High fever, aphonia, drooling and inspiratory stridor.
– Irritability with the hyperextended neck.
– Cherry red epiglottis.
– Refusal to eat.
– Intercostal retraction.
– History and physical examination.
– X-Ray neck ” epiglottic edema”.
– ABG analysis ” increased PaCO2 at the late stage.
– Medical emergency ” endotracheal intubation”.
– Cool humidified oxygen.
– Antibiotic therapy.
– Quit room and bed rest.
– Increase fluids.
– Observe for signs of respiratory distress.