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Bacterial tracheitis

Published online by Cambridge University Press:  29 June 2007

Ibi Rabie ,
Donald McShane  and
Declan Warde
Ibi Rabie
Affiliation:
Dublin
Donald McShane*
Affiliation:
Dublin
Declan Warde
Affiliation:
Dublin
*
Mr Donald McShane ENT Senior RegistrarResearch FoundationRoyal Victoria Eye and Ear HospitalAdelaide RoadDublin 2Ireland
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Abstract

Bacterial tracheitis is the term used to describe a severe infraglottic infection characterized by toxicity, brassy cough, inspiratory stridor, subglottic oedema and the presence of copious mucopurulent secretions in the trachea. It is an uncommon condition that requires prompt diagnosis and intensive medical therapy if significant morbidity and mortality are to be avoided.

Since the condition was first described in 1979 approximately one hundred cases have been reported. In this paper we present four children with bacterial tracheitis to add to the current literature. Interestingly, one child was admitted on two separate occasions with the disease, an event not previously recorded. All patients underwent endoscopy which revealed findings typical of bacterial tracheitis in each case. None required tracheostomy though three required nasotracheal intubation. Post-endoscopy all were managed in the Intensive Care Unit. There were no fatalities or significant morbidity. The average duration of hospitalization was seven days.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 11 , November 1989 , pp. 1059 - 1062
Copyright
Copyright © JLO (1984) Limited 1989

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