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Bug Of The Month: Croup

Posted on 12 December 2009 by DrGwenn

Technical Names: laryngotracheobronchitis

NickNames: croup, barking seal cough

What is it: infection of our trachea – the main tube in our throat

Typical Ages for Illness: infants and toddler most usually but occasionally younger elementary school children.

Typical Symptoms:barky, seal-like cough often worse at night; +/- fever; +/- trouble breathing. Often starts as a bad cold then suddenly worsens.

Etiology: most commonly parainfluenza virus types 1 and 2, but many winter/flu season viruses possible culprits including influenza, adenovirus and RSV.

Seasonal Issues: usually winter illness, sporadic cases during other seasons

How’s It Spread? person to person by respiratory droplets – i.e. getting coughed or sneezed on, or fomites – touching droplets on an object.

Incubation Period? 2 to 6 days

Symptom Duration: there is usually a few days of a early, cold like symptoms, then 1-3 days of the barky cough which tends to get worse over the first couple of nights before improving.

Treatment:

  • cool steam, air – take child outside on front stoop if really barking
  • possible steroids if cough is severe
  • try taking the child into the bathroom with the shower running for steam

Call Your Pediatrician If:

  • trouble breathing: fast rate, skin between abdomen or ribs sinking in
  • stridor: tight, squeaky sound
  • looking sick
  • high fever
  • drooling
  • inability to talk a complete sentence

Prevention:

  • good hand washing
  • having the child cover his or her mouth when coughing, if possible
  • cleaning toys and objects likely contaminated by respiratory droplets

School and After school Activity Issues

  • may return to school when fever free for 24hours
  • avoid large groups of kids if cough is not controlled to prevent further spread

Internet Resources for Parents

Kids Health Information on Croup

WebMD Information on Croup

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