Croup-image

Overview

Croup, medically known as laryngotracheobronchitis, is a contagious respiratory infection that primarily affects infants and young children. It leads to inflammation and narrowing of the upper airway, causing characteristic symptoms such as a barking cough and difficulty breathing. While most cases are mild, severe episodes can be life-threatening.

Types of Croup

  1. Viral Croup: This is the most common form and is typically caused by viral infections, including influenza viruses, parainfluenza viruses, and adenovirus.
  2. Spasmodic Croup: Characterized by recurrent episodes triggered by allergies or irritants. It tends to occur suddenly and often at night.
  3. Bacterial Croup: Less common than viral croup, it results from bacterial infections.

Causes of Croup

  • Viral Infections: Respiratory syncytial virus (RSV) and parainfluenza viruses are common culprits.
  • Transmission: Croup spreads through airborne droplets or direct contact with an infected person.
  • Risk Factors: Children under 3 years old are more susceptible due to narrower airways. Boys are affected more frequently than girls.

Risk Factors of Croup

Risk Factors: Children under 3 years old are more susceptible due to narrower airways. Boys are affected more frequently than girls.

Symptoms of Croup

1. Barking Cough: The hallmark symptom, resembling a seal’s bark.
2. Hoarse Voice.
3. Stridor: High-pitched breathing sounds due to narrowed airway.
4. Labored Breathing.
5. Difficulty Swallowing.
6. Agitation and Anxiety
7. Bluish Skin Around Nose, Mouth, or Fingernails (severe cases).

Preventions of Croup

  • Hand Hygiene: Regular hand-washing with soap and water.
  • Avoid Exposure: Keep your child away from sick individuals.
  • Cough Etiquette: Teach your child to cough or sneeze into their elbow.
  • Surface Cleaning: Regularly disinfect frequently touched surfaces.
  • Vaccinations: Ensure your child is up-to-date with recommended vaccines.

Diagnosis of Croup

  • Physical Examination: The doctor listens for the characteristic cough and observes symptoms.
  • Chest X-ray: To rule out other conditions.

Treatment for Croup

  • Home Care:
    • Cool Mist Humidifier: Helps soothe the airway.
    • Steamy Bathroom: Steam can alleviate symptoms.
    • Comfort Measures: Keep the child calm and engaged.
  • Medications:
    • Dexamethasone: Reduces inflammation.
    • Paracetamol (Acetaminophen): Manages fever.
    • Epinephrine (Nebulized): For severe cases.

When to seek medical attention ?

If symptoms worsen or if your child experiences severe breathing difficulties.

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