A child with three days history of upper respiratory tract infection presents with stridor, which decreases on lying down position. What is the most probable diagnosis –
Correct Answer: Laryngotracheobronchitis
Description: This child has : -
3 days history of upper respiratory tract infection.
Followed by stridor
These features suggest the diagnosis of croup.
Clinical manifestations of Croup
Most patients have an upper respiratory tract infection with some combination of -
Rhinorrhea
A mild cough
Pharyngitis
Low-grade fever
After 1-3 days signs and symptoms of upper respiratory tract obstruction become apparent -
Barking cough
Hoarseness
Inspiratory stridor
Symptoms are characteristically worse at night.
Symptoms often recur with decreasing intensity for several days and resolve completely in one week.
Agitation and crying aggravate the symptoms.
The child may prefer to sit up in bed or be held upright.
Chest X-ray
Characteristic narrowing of the subglottic region known as the steeple sign.
Category:
Pediatrics
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