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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]
[1] [2] The presence of the steeple sign supports a diagnosis of croup, usually caused by paramyxoviruses. [3] It can also be defined as the replacement of the usual squared-shoulder appearance of the subglottic area by cone-shaped narrowing just distal to the vocal cords. This is called the steeple or pencil-point sign.
The only patients eligible for admission were aged 1–15, suffering from an acute or chronic disease (or convalescent from such), required medical or surgical treatment. The hospital provided free care, without regard to race, religion, creed or color. The only restriction was that no child with an infectious disease may be admitted.
In 1991, Marcus established the Marcus Autism Center, a world-renowned research and treatment facility in Atlanta that provides comprehensive services to children and families affected by autism.
In the 2013 study the guideline recommendation is based on, [29] there was also a significant decrease of neonatal morbidity including lower rates of necrotizing enterocolitis (0 in the treatment group vs 4 in the control), intraventricular hemorrhage (4 in the treatment group compared with 8 in the control for a relative risk of 0.25), and ...
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In children under five years and adults over 40 years, the fatality rate may be as much as 20%. [28] In 2013, it resulted in 3,300 deaths, down from 8,000 deaths in 1990. [ 7 ] Better standards of living, mass immunization, improved diagnosis, prompt treatment, and more effective health care have led to a decrease in cases worldwide.