Bacterial Tracheitis


Epiglottitis? Think Tracheitis too!

• Considered bacterial tracheitis in a patient who has fever, stridor, and symptoms that does not respond to therapy for croup (racemic epinephrine and steroids).
• Additionally, that toxic appearing child that you think looks like the textbook picture of epiglottitis, may actually have bacterial tracheitis.

• The epidemiology of acute infectious upper airway disease in pediatrics has been altered with immunization against Haemophilus influenza-b and the widespread use of corticosteroids for the treatment of viral croup.
• Bacterial tracheitis has replaced epiglottitis and croup as the most common cause of acute respiratory failure.  One study found it to be 3 times more likely to cause respiratory failure than croup and epiglotittis combined.
• The mortality rates had been reported as high as 18% to 40%.

Hopkins, A., et al., Changing epidemiology of life-threatening upper airway infections: the reemergence of bacterial tracheitis. Pediatrics, 2006. 118(4): p. 1418-21

Sean M. Fox

I enjoy taking care of patients and I finding it endlessly rewarding to help train others to do the same. I trained at the Combined Emergency Medicine and Pediatrics residency program at University of Maryland, where I had the tremendous fortune of learning from world renown educators and clinicians. Now I have the unbelievable honor of working with an unbelievably gifted group of practitioners at Carolinas Medical Center. I strive every day to inspire my residents as much as they inspire me.

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  1. November 9, 2016

    […] Bacterial Tracheitis […]

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