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David C. Hefelfinger, MD
University of Alabama School of Medicine University, Ala

JAMA. 1981;246(10):1087.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

The article by Roger Jones, MD, et al (1979;242:721) describes a distinct entity, bacterial tracheitis, which bears close resemblance to croup and epiglottitis. The authors differentiate the disease by noting on direct visualization a normal epiglottis, marked subglottic edema associated with copious purulent mucus from the trachea, and six of eight patient tracheal cultures yielding Staphylococcus aureus.

Report of a Case.—

Recently, I hospitalized a 17-month-old infant with moderate to severe upper airway obstruction. The initial impression was infection croup associated with moderate to severe respiratory distress suggestive of epiglottitis. Direct examination of the airway on admission showed a normal epiglottis. A repeated examination at 12 hours indicated a similar finding with the exception of moderate mucopus in the trachea. The child was treated supportively with oxygen mist, intravenous fluids, and intermittent positive-pressure breathing with racemic epinephrine. However, from 48 to 72 hours after admission she still . . . [Full Text PDF of this Article]

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