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Croup (Laryngotracheobronchitis)

Ryan Paul Urbi, MD, Olga Nunez, MD and Mark T. Nadeau, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Croup is a subacute viral illness characterized by upper airway symptoms such as seal-like barking cough, inspiratory stridor, and fever. “Croup” is used to refer to viral laryngotra...

DIAGNOSIS

  • Croup is a clinical diagnosis; lab tests and imaging serve only ancillary purposes. Most children who present with acute onset of barky cough, inspiratory stridor, hoarseness, and chest wall...

TREATMENT

GENERAL MEASURES

  • Symptomatic treatment

  • Minimize lab tests, imaging, and procedures that upset the child; agitation worsens tachypnea and can be more detrimental than accepting a clinical diagn...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

Most children with croup do not require specific follow-up; should consider PCP follow-up if patient had stridor for >1 week. 

DIET

  • Liquid diet...

REFERENCES

1 Abedi GR, Prill MM, Langley GE, et al. Estimates of parainfluenza virus-associated hospitalizations and cost among children aged less than 5 years in the United States, 1998–2010. J Pedi...

ADDITIONAL READING

Zoorob R, Sidani M, Murray J. Croup: an overview. Am Fam Physician.  2011;83(9):1067–1073.  [View Abstract] 

CODES

ICD10

  • J05.0 Acute obstructive laryngitis [croup]

  • J20.9 Acute bronchitis, unspecified

  • J38.5 Laryngeal spasm

  • J04.2 Acute laryngotracheitis

ICD9

  • 464.4 Croup

  • 466.0 Acute bronchitis

  • 478.75 Laryngeal spasm

  • 464...

CLINICAL PEARLS

  • LT and LTB outbreaks are most common in fall and winter time for population aged 6 months to 3 years. Symptoms often occur at night.

  • Recurrent episodes should be followed up with a sear...

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