Skip to main content

Croup (Laryngotracheobronchitis)

Reviewed 06/2020
 


BASICS

DESCRIPTION

  • The term croup is used to refer to viral laryngotracheitis or laryngotracheobronchitis (LTB). It is a common viral illness presenting with upper airway inflammation and obstruction c...

DIAGNOSIS

  • Croup is a clinical diagnosis, most children who present with acute onset of barky cough, inspiratory stridor, hoarseness, and chest wall indrawing can be diagnosed with croup; lab tests and...

TREATMENT

Management of croup is based on severity of illness 
  • Oxygen should be administered to children with hypoxemia or severe respiratory distress.

  • Heliox is a helium and oxygen mixture used for res...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Most children with croup do not require specific follow-up; should consider primary care physician follow-up if patient had stridor for >1 we...

REFERENCES

1
Bjornson CL, Johnson DW. Croup in children. CMAJ.  2013;185(15):1317–1323.
2
Abedi GR, Prill MM, Langley GE, et al. Estimates of parainfluenza virus-associated hospitalizations and cost...

ADDITIONAL READING

Smith DK, McDermott AJ, Sullivan JF. Croup: diagnosis and management. Am Fam Physician.  2018;97(9):575–580. 

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...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×