Airway

Bacterial Tracheitis

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Bacterial Tracheitis, Pseudomembranous Croup

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