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Bacterial TracheitisAka: Pseudomembranous Croup

Epidemiology
1. Affects older children than in croup (ages 1-6 years)
Etiology
1. Staphylococcus aureus
Symptoms
1. Very toxic appearance with rapid progression
Signs: Does not respond to Croup therapies
1. Unresponsive to Racemic Epinephrine or mist therapy
Differential Diagnosis
1. Laryngo-tracheo Bronchitis (Croup)
2. Epiglottitis
Radiology: Lateral Neck Xray
1. Tracheal pseudomembrane
2. Necrotic epithelium subdivides trachea lumen

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.