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.
  1. Cherry JD. Clinical Practice: Croup. N Engl J Med. 2008 Jan;358(4):384-391. http://www.nejm.org/doi/pdf/10.1056/NEJMcp072022. Accessed 19 Jul 2010. PMID: 18216359
  2. Fitzgerald DA, Kilham HA. Croup: assessment and evidence-based management. Med J Aust. 2003 Oct;179(7):372-377. https://www.mja.com.au/journal/2003/179/7/croup-assessment-and-evidence-based-management. Accessed 19 Jul 2010. PMID: 14503904
  3. Russell K, Wiebe N, Saenz A, et al. Glucocorticoids for croup. Cochrane Database Syst Rev. 2004;(1):CD001955. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001955.pub2/pdf. PMID: 14973975
  4. MedWormhttp://www.medworm.com/rss/index.php/Pediatrics/33/http://www.medworm.com/rss/medicalfeeds/specialities/Pediatrics.xml
  5. The Royal Children's Hospital Melbourne. Clinical Practice guidelines: croup (laryngotracheobronchitis). The Royal Children's Hospital Melbourne Web Site. http://www.rch.org.au/clinicalguide/guideline_index/Croup_Laryngotracheobronchitis/. Apr 2011. Accessed 29 Apr 2014.
  6. Muniz A. Croup: treatment & management. eMedicine Web Site. http://emedicine.medscape.com/article/962972-treatment. Jun 2015. Accessed 19 Jul 2010.
  7. Alberta Clinical Practice Guideline Working Group. Guideline for the diagnosis and management of croup. Alberta Medical Association Web Site. http://www.topalbertadoctors.org/download/252/croup_guideline.pdf. Jan 2008. Accessed 19 Jul 2010.
  8. Woods CR. Croup: pharmacologic and supportive interventions. UptoDate Web Site. http://www.uptodate.com/contents/croup-pharmacologic-and-supportive-interventions?source=search_result&search=croup&selectedTitle=3~55. Jan 2014. Accessed 29 Apr 2014.
  9. Mazza D, Wilkinson F, Turner T, Harris C; Health for Kids Guideline Development Group. Evidence based guideline for the management of croup. Aust Fam Physician. 2008 Jun;37(6 Spec No):14-20. http://www.racgp.org.au/afpbackissues/2008/200806/200806supplementcroup.pdf. PMID: 19142265
  10. Petrocheilou A, Tanou K, Kalampouka E, Malakasioti G, Giannios C, Kaditis AG. Viral croup: diagnosis and a treatment algorithm. Pediatr Pulmonol. 2014 May;49(5):421-429. http://onlinelibrary.wiley.com/doi/10.1002/ppul.22993/pdf. PMID: 24596395
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
12 Apr 2019
Long-acting beta2-agonist (LABA) plus long-acting muscarinic antagonist (LAMA) combinations compare with inhalers containing both LABA and corticosteroid (LABA-ICS) in terms of reducing chronic obstructive pulmonary disease (COPD) exacerbations, although the LAMA-LABA combination is more favourable as it is associated with fewer episodes of severe pneumonia, according to a study.
16 Jan 2017
There are various ear, nose, and throat (ENT) conditions which present to the GP’s clinic. Dr Jason Hwang, an ENT Consultant from the Department of Otolaryngology at Gleneagles Hospital in Singapore, speaks on how the majority of the conditions can be effectively managed at the primary care level seeing that these can be treated medically without the need for surgical intervention.
12 Mar 2019
The use of magnesium supplements as an adjunct to standard asthma treatment in patients with mild-to-moderate disease confers no significant benefits apart from an improvement in forced expiratory volume in 1 second after 8 weeks of treatment, according to the results of a meta-analysis.
Elaine Soliven, 5 days ago

High-dose vitamin D supplementation at 24 weeks of pregnancy was not associated with significant changes in the risk of asthma in offspring at 6 years of age, according to a recent study.