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
  • Within 2-3 days, pharyngeal exam may show a typical gray-white membrane adherent to the tissue that bleeds when attempted to be removed
  • With 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!
Sign In To Download
Editor's Recommendations
Most Read Articles
21 Nov 2020
Ivermectin confers benefits in the treatment of COVID-19, with a recent study showing that its use helps reduce the risk of death especially in patients with severe pulmonary involvement.
Elvira Manzano, 12 May 2020
After months of work disruption, profound worrying, social distancing, and isolation, SARS-CoV-2* still rages on, unyielding to human interventions.
Rachel Soon, 05 Dec 2020

The Malaysian National Immunisation Programme (NIP) will now include a hexavalent combination DTaP-IPV-HiB-HepB vaccine and a pneumococcal vaccine.

Roshini Claire Anthony, 18 Jun 2020

Endorsement of unproven COVID-19 treatments by high-profile public figures led to a drastic increase in the search and purchase of said treatments in the US, according to a research letter published in JAMA.