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Bacterial Tracheitis
Aka: Bacterial Tracheitis, Pseudomembranous Croup
- See Also
- Croup
- Epiglottitis
- Foreign Body Aspiration
- Foreign Body Obstruction
- Epidemiology
- Affects older children than in croup (ages 1-6 years)
- Etiology
- Staphylococcus aureus
- Streptococcus
- Moraxella catarrhalis
- HaemophilusInfluenza
- Symptoms
- Prodrome of upper respiratory symptoms
- Rapidly progresses to severe life-threatening illness
- Fever (abrupt onset)
- Stridor
- Cough
- Toxic, ill appearance
- Signs
- Does not respond to Croup therapies
- Unresponsive to Racemic Epinephrine or mist therapy
- Differential Diagnosis
- See Airway Obstruction
- Laryngo-tracheo Bronchitis (Croup)
- Epiglottitis
- Radiology: Lateral Neck Xray
- Tracheal pseudomembrane
- Necrotic epithelium subdivides trachea lumen
- Management
- Intubation
- Antibiotics to cover bacterial causes listed above
- Ampicillin-Sulbactam (Unasyn)