Cases reported "Croup"

Filter by keywords:



Filtering documents. Please wait...

1/14. A child with nocturnal croup.

    The domiciliary management of a four-year-old with suspected croup is difficult. The differential diagnosis ranges from relatively benign viral illnesses to acute epiglottitis and even diphtheria. Complete obstruction can occur with little warning, and the social situation may further complicate arrangements. As it is not possible to admit every patient with such symptoms, clinical judgement is vitally important.
- - - - - - - - - -
ranking = 1
keywords = obstruction
(Clic here for more details about this article)

2/14. Acute viral laryngotracheitis complicated by herpes simplex virus infection.

    We report the development of HSV-1 laryngotracheitis during the resolution phase of typical viral laryngotracheobronchitis (LTB) in an infant. This case represents an uncommon complication of viral LTB which has previously been described only at autopsy and suggests that prolonged use of systemic corticosteroids may lead to secondary infections, such as HSV-1. Therefore, we recommend that corticosteroid therapy for LTB be limited to 48 degrees in duration. This case also demonstrates that when an atypical clinical course is being followed by a patient who has LTB, then early diagnostic intervention is indicated. If HSV-1 is identified, anti-viral chemotherapy should be initiated and artificial airway management may be necessary. Tracheal intubation may be used, but, if extensive subglottic ulceration occurs, the subglottis should be bypassed in order that the chance of subglottic stenosis be minimized. In this case, early identification by bronchoscopy and viral cultures resulted in a successful combined medical-surgical management and total resolution with no sequelae.
- - - - - - - - - -
ranking = 7.6032460927027
keywords = airway
(Clic here for more details about this article)

3/14. Bacterial croup and toxic shock syndrome.

    An 8-year-old boy with bacterial tracheitis, treated by endotracheal intubation, humidification, airway toilet and antibiotics, experienced a toxic shock syndrome on the day after his admission. The course was favourable. staphylococcus aureus was isolated from tracheal secretions. Bacterial tracheitis is an infrequent cause of non-menstrual toxic shock syndrome. The diagnosis of bacterial tracheitis should be suspected in a child with toxicity and croup who is not responding to the usual therapy. endoscopy should be performed allowing for removal of the secretions. The maintenance of a clear airway is the main purpose of the treatment.
- - - - - - - - - -
ranking = 15.206492185405
keywords = airway
(Clic here for more details about this article)

4/14. Subglottic foreign bodies in pediatric patients.

    Impacted subglottic foreign bodies may produce upper airway obstruction and clinical signs simulating croup or asthma. We identified the roentgenologic and clinical features in six patients. In four of these patients, the parent had not observed the aspiration episode, so that the diagnosis was delayed. Roentgenologic studies demonstrated subglottic narrowing of the upper airway with a homogeneous, poorly defined radiodensity within the narrowed segment. These roentgenologic studies are usually diagnostic; therefore, if infants or young children present with stridor of undetermined cause, soft-tissue upper airway roentgenography is indicated.
- - - - - - - - - -
ranking = 86.270204921615
keywords = airway obstruction, airway, obstruction
(Clic here for more details about this article)

5/14. Efficacy of helium--oxygen mixtures in the management of severe viral and post-intubation croup.

    An appreciable number of children with viral or post-intubation croup progress to respiratory failure necessitating an artificial airway. We report seven such patients with critical airway narrowing in whom we reduced the work of breathing by developing helium rather than air as a carrier gas for oxygen. Assessment of patients by a croup-scoring system and blood gas analysis suggests helium-oxygen mixtures to be a useful alternative to intervention with tracheostomy or tracheal intubation. The rationale and limitations of this treatment are discussed.
- - - - - - - - - -
ranking = 15.206492185405
keywords = airway
(Clic here for more details about this article)

6/14. Spasmodic croup in the adult.

    Recurrent inspiratory stridor, for which there appears to be no organic basis, can present a serious medical problem. We measured the changes in cross-sectional area of the glottic aperture during the respiratory cycle in a patient with recurrent inspiratory stridor when she was well, during a spontaneous attack, and during one induced with histamine aerosol. The glottis was visualized using a fiberoptic bronchoscope passed transnasally and attached to a video camera and tape recorder. During stridor there was marked constriction of the glottis on inspiration and phase reversal of the normal movements of the vocal cords with respect to respiration. Intermittent positive pressure ventilation (IPPV) and continuous positive airway pressure (CPAP) applied during stridor, in the absence of inspiratory effort, reversed the glottic narrowing. Pulmonary resistance (RL) on inspiration was elevated during stridor and returned to normal during IPPV and CPAP. Expiratory RL was normal throughout. Our results show that stridor in this patient was due to dynamic inspiratory constriction of the vocal cords. Glottic constriction could be induced by histamine aerosol and reversed when lung inflation was unaccompanied by inspiratory effort during IPPV and CPAP. Recognition and appropriate management of this condition may avoid potentially dangerous therapeutic interventions.
- - - - - - - - - -
ranking = 7.6032460927027
keywords = airway
(Clic here for more details about this article)

7/14. Pseudomembranous croup.

    During a 2-year period, 7 children were seen with a severe form of laryngotracheobronchitis associated with sloughing of the respiratory epithelium and profuse mucopurulent secretions. We have called this condition pseudomembranous croup. The children had severe upper airways obstruction, appeared toxic with high fever, and were older than the typical age group for viral laryngotracheobronchitis. Lateral x-ray films of the airways showed subglottic narrowing and often these suggested the presence of radio-opaque foreign material in the tracheal lumen. At endoscopy, in addition to pseudomembrane in the subglottic region and trachea, there was thick mucopus and debris, and in some cases these changes extended into the bronchi. An artificial airway was required in all except one, and even after intubation it proved difficult to maintain the airway. staphylococcus aureus was the most common pathogen isolated from tracheal cultures but other organisms were grown.
- - - - - - - - - -
ranking = 31.412984370811
keywords = airway, obstruction
(Clic here for more details about this article)

8/14. Telling patients about medical negligence.

    A 7-year-old boy, diagnosed as having croup, develops an upper airway obstruction due to epiglottitis during the therapy, resulting in cerebral anoxia. Pediatricians to whom the boy is referred feel that failure to consider epiglottitis in the original diagnosis constitutes negligence. The parents suspect nothing. What should the pediatricians say or do?
- - - - - - - - - -
ranking = 71.06371273621
keywords = airway obstruction, airway, obstruction
(Clic here for more details about this article)

9/14. Foreign-body aspiration. Potential misdiagnosis.

    Clandestine aspiration of foreign bodies lodged high in tracheal airway can mimic subglottic croup. Although this relationship is emphasized in textbooks of otolaryngology, documentation in the recent literature is lacking. This report underscores our awareness of a potentially lethal diagnosis masquerading as a more benign viral infection of the laryngotracheal airway.
- - - - - - - - - -
ranking = 15.206492185405
keywords = airway
(Clic here for more details about this article)

10/14. Secondary airway support in the management of croup.

    Over a four year period of 2,567 croup admissions, 65 required secondary airway support, 45 were intubated, and 30 underwent tracheotomy. The median duration of nasotracheal intubation was six days and of tracheotomy 11 days. The overall morbidity was less for nasotracheal intubation but tubal obstruction resulted in the death of one patient in this group.
- - - - - - - - - -
ranking = 39.016230463513
keywords = airway, obstruction
(Clic here for more details about this article)
| Next ->


Leave a message about 'Croup'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.