Acute, life-threatening upper airway obstruction due to infraglottic bacterial infection following a primary viral infection (typically parainfluenza or influenza)
Historically high m...
Careful history and physical exam are the best methods to help distinguish bacterial tracheitis from croup and other rare causes of upper airway obstruction.
The diagnosis of bacterial trache...
Consider as a potentially life-threatening airway emergency.
Children with suspected or actual bacterial tracheitis should be cared for in a pediatric ICU (2)[C].
Assess and monitor respirato...
J04.10 Acute tracheitis without obstruction
J04.11 Acute tracheitis with obstruction
J05.0 Acute obstructive laryngitis [croup]
J04.1 Acute tracheitis
62994001 Trach...
Bacterial tracheitis is an acute, potentially life-threatening, infraglottic bacterial infection which generally follows a primary viral infection.
Bacterial tracheitis should be suspec...
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Figure 266.3. Croup. Steeple sign on a soft-tissue neck radiograph.
FIG. 11.19. A child with epiglottitis. This 4-year-old girl has epiglottitis caused by Haemophilus influenzae type b. A: She prefers to sit and appears anxious. B: The child assumes the characteristic sniffing position to maximize the patency of her airway.
FIG. 11.19. A child with epiglottitis. This 4-year-old girl has epiglottitis caused by Haemophilus influenzae type b. A: She prefers to si...
FIG. 11.21. Epiglottitis. A: A swollen, cherry-red epiglottis with an endotracheal tube passing posteriorly. B: In comparison, this child has a thin, pink, uninfected epiglottis.
FIG. 11.21. Epiglottitis. A: A swollen, cherry-red epiglottis with an endotracheal tube passing posteriorly. B: In comparison, this child ...
FIG. 11.23. A: The patient has epiglottitis. The radiograph demonstrates a swollen epiglottis at the level of the hyoid bone, which is convex on both sides and appears in the shape of a thumbprint. Edema anterior to the epiglottis has obliterated the vallecula, which usually appears as an elongated black shadow. Note the marked swelling of the aryepiglottic folds, projecting inferiorly and posteriorly from the epiglottis and the arytenoid cartilages at the base of the folds. Because Haemoph...
FIG. 11.23. A: The patient has epiglottitis. The radiograph demonstrates a swollen epiglottis at the level of the hyoid bone, which is con...
FIG. 11.24. Epiglottitis. A: A normal epiglottis on a lateral neck radiograph, with the structures illustrated in B. Epiglottitis is similarly depicted radiographically (C, D).
FIG. 11.24. Epiglottitis. A: A normal epiglottis on a lateral neck radiograph, with the structures illustrated in B. Epiglottitis is simil...
<bold>Fig C 38-1 Croup.</bold> (A) Smooth, tapered narrowing (arrow) of the subglottic portion of the trachea (gothic arch sign). (B) A normal trachea with broad shouldering in the subglottic region.
<bold>Fig C 38-1 Croup.</bold> (A) Smooth, tapered narrowing (arrow) of the subglottic portion of the trachea (gothic arch sig...