Viral infection of the upper respiratory tract
Most commonly presents in children 6 mo–3 yr:
Inspiratory stridor owing to extrathoracic airway...
Nonspecific upper respiratory prodrome with or without fever
Duration of illness
History of tracheal intubation
Possibility of foreign body aspiration
Allow child to maintain position of comfort.
Defer interventions that may distress child such as:
If severe distress:
Immediate nebulized epinephrine
Young infants, pre-existing upper airway obstruction
Persistent or recurrent stridor at rest unresponsive to nebulized epinephrine, or recurring during 2–3 hr obs...
Beware young infants with stridor
High incidence of congenital abnormalities
Mild and early epiglottitis or bacterial tracheitis may mimic croup
Bjornson C, Russell KF, Vandermeer B, et al. Nebulized epinephrine for croup in children. Cochrane Database Syst Rev. 2011;16(2):CD006619.
Cherry JD. Clinical practice. Cro...
464.20 Acute laryngotracheitis without mention of obstruction
J04.2 Acute laryngotracheitis
J05.0 Acute obstructive laryngitis [croup]
71186008 Croup (disorder)
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