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Croup (/ k r uː p / KROOP), also known as croupy cough, is a type of respiratory infection that is usually caused by a virus. [2] The infection leads to swelling inside the trachea, which interferes with normal breathing and produces the classic symptoms of "barking/brassy" cough, inspiratory stridor and a hoarse voice. [2]
In children, viral infections such as croup or epiglottitis are frequent causes. [4] Adults are more likely to experience obstruction from enlargement of the tonsils or vocal cord paralysis. [3] Obstructive sleep apnea is the most common chronic cause of upper airway obstruction. [2]
In adults, the right lower lobe of the lung is the most common site of recurrent pneumonia in foreign body aspiration. [2] This is due to the fact that the anatomy of the right main bronchus is wider and steeper than that of the left main bronchus, allowing objects to enter more easily than the left side. [ 2 ]
Laryngotracheal stenosis is an umbrella term for a wide and heterogeneous group of very rare conditions. The population incidence of adult post-intubation laryngotracheal stenosis which is the commonest benign sub-type of this condition is approximately 1 in 200,000 adults per year. [10] The main causes of adult laryngotracheal stenosis are:
Uncomplicated aspiration events commonly present with symptoms including wheezing and coughing. Signs and symptoms that aspiration is complicated can include dyspnea (shortness of breath), hypoxemia (low oxygen in the blood), tachycardia (high heart rate), fever, and crackles or wheezes on lung exam.
Recognition and diagnosis of choking primarily involves identification of the signs and symptoms like coughing and wheezing (see Signs and Symptoms). Immediate recognition of the symptoms is important, but based on the short length of some episodes, diagnosis during the first 24 hours only occurs in 50–60% of cases.
Preschool wheezing is a clinical condition that describes wheezing preschool children that do not fulfill the criteria of "asthma" fully as asthma would require a person to demonstrate a history of at least three episodes of exacerbations (worsening of symptoms) or chronic cough or wheeze for the past six months. [2]
The primary symptom is a cough with sputum that may be purulent.The illness may also cause shortness of breath or wheezing. Upper respiratory tract infections (URTIs) often precede acute bronchitis, with overlapping symptoms including headache, nasal congestion, and sore throat.