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Croup (Laryngotracheobronchitis)

Afsha Rais, MD, Antony Y Ibrahim, MD and Niyomi De Silva, MD Reviewed 06/2022
 


BASICS

Croup is a self-limited upper respiratory infection causing inflammation of the larynx and subglottic airway  that presents with barking cough and inspiratory stridor. Although usually mild, cr...

DIAGNOSIS

  • Croup is a clinical diagnosis; most children present with acute onset of classic "seal-like" barking cough, inspiratory stridor, hoarseness, and chest wall indrawing.

  • Low to moderate grade fe...

TREATMENT

  • Treatment is supportive; severity of illness may dictate additional measurements.

  • The limited experience with COVID-19 croup suggests cases can present with severe pathology and may not impro...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Most with croup do not require specific follow-up. 

DIET

  • Cool, liquid diet is better tolerated.

  • Frequent small feedings

PATIENT EDUCATION

  • Croup is us...

REFERENCE

1
Hanna J, Brauer PR, Morse E, Berson E, Mehra S. Epidemiological analysis of croup in the emergency department using two national datasets. Int J Pediatr Otorhinolaryngol. 2019 Nov;126:10964...

CODES

ICD10

  • J05.0 Acute obstructive laryngitis [croup]

  • J20.9 Acute bronchitis, unspecified

  • J38.5 Laryngeal spasm

  • J04.2 Acute laryngotracheitis

SNOMED

  • 71186008 Croup (disorder)

  • 85915003 Laryngotracheobronchit...

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.

  • It is a clinical diagnosis, thus medical management ...

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