croup
CROUP
Croup is a viral infection that causes erythema and edema of the tracheal walls and narrowing of the subglottic region. It is often characterized by an acute, rapidly progressing respiratory disease.
It is a medical emergency in children and requiring immediate treatment.
Most common causes are parainfluenza virus 1&2 and respiratory syncytial virus.
Occurrence of symptoms is usually at night and with abrupt onset and improve during daytime.

Differential Diagnosis

Diphtheria
  • Characterized by malaise, sore throat, anorexia, & low-grade fever
  • W/in 2-3 days, pharyngeal exam may show a typical gray-white membrane adherent to the tissue that bleeds when attempted to be removed
  • W/ insidious course but sudden respiratory obstruction may occur
Epiglottitis
  • Characterized by sudden onset of high fever, dysphagia, drooling & anxious appearance
  • Patient prefers to sit forward in sniffing position
  • Barking cough is rarely observed
Tracheitis
  • Patient appears febrile, toxic & gives poor response to Epinephrine
Other Causes of Stridor
  • Foreign body
  • Retropharyngeal abscess
  • Hereditary angioedema
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Respirology - Malaysia digital copy today!
DOWNLOAD
Editor's Recommendations
Most Read Articles
Audrey Abella, 21 Jul 2017
Deficiency in vitamin A (<200 µg/L) may predict the risk of incident tuberculosis (TB) in individuals with household exposure to a person with TB, a recent study has found.
14 Mar 2016
Delamanid may be a potent treatment regimen for pulmonary multidrug-resistant tuberculosis (MDR-TB) patients, based on a study.
Pearl Toh, 22 Jun 2017
The next-generation ALK inhibitor brigatinib yielded high and durable responses in both whole-body and intracranial endpoints, with a median progression-free survival (PFS) of over 1 year in patients with ALK-positive non-small cell lung cancer (NSCLC) whose disease had progressed after crizotinib, according to the ALTA* trial.
Dr Joslyn Ngu, 16 Oct 2017

The main goal of the National Strategic Plan (NSP) for TB Control (2016 to 2020) is to reduce tuberculosis (TB) burden by ensuring universal access to timely and quality diagnosis and treatment of all types of TB, and preventing the development of drug resistant TB, says an expert.