Abstract
Bacterial tracheitis is an uncommon, but severe cause of acute infective upper-airway obstruction in children. Patients may present with croup-like symptoms, such as barking cough, stridor, and fever; however, patients with bacterial tracheitis do not respond to standard croup therapy and may experience acute respiratory decompensation. Herein, we describe a case of bacterial tracheitis in a 9-month-old girl who presented with acute respiratory failure after four days of upper respiratory tract infections. Such patients should be monitored in a pediatric intensive care unit and flexible bronchoscopy should be used to diagnose and guide specific therapy to decrease morbidity and mortality. (J Pediatr Resp Dis 2012;8:59-63)
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