When bacterial tracheitis complicates

Authors

  • Joana Teixeira Pediatric Service of Hospital de Braga
  • Ângela Pereira Pediatric Service of Hospital de Braga
  • Ângela Oliveira Pediatric Service of Hospital de Braga
  • Filipa Moreira Otorhinolaryngology Service of Hospital de Braga
  • Manuela Costa Alves Pediatric Service of Hospital de Braga
  • Luís Dias Otorhinolaryngology Service of Hospital de Braga
  • Augusta Gonçalves Pediatric Service of Hospital de Braga
  • Carla Moreira Pediatric Service of Hospital de Braga

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v24.i4.8480

Keywords:

stridor, laryngotracheobronchitis, tracheitis, cellulitis, retropharyngeal abscess, mediastinitis

Abstract

Introduction: Viral croup is the most common cause of stridor in children seen at emergency room. In the absence of response to treatment with corticosteroids and nebulized adrenaline, bacterial tracheitis should be considered.

Case Report: A six year-old child, was admitted in emergency room with stridor, respiratory distress and fever, with partial response to therapy with nebulized epinephrine. Ceftriaxone was prescribed for suspected bacterial laryngotracheobronchitis. Despite therapy, developed cervical cellulitis with progression to retropharyngeal abscess and mediastinitis. Good outcome after therapy with ceftriaxone, clindamycin and vancomycin.

Discussion/Conclusion: The authors describe an original case of a bacterial tracheitis complicated with retropharyngeal abcess and mediastinitis, emphasizing that bacterial tracheitis is potentially life threatening, requiring a high index of suspicion for early diagnosis.

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References

Chang L, Chi H, Chiu NC, Huang FY, Lee KS. Deep neck infections in different age groups of children; J Microbiol Immunol Infect. 2010 Feb;43(1):47-52.

Bakshi R, Grover G. Retropharyngeal abscess with mediastinal extension in an infant-still existing? Pediatr Emerg Care. 2009 Mar;25(3):181-3.

Graf J, Stein F. Tracheitis in pediatric patients. Semin Pediatr Infect Dis. 2006 Jan;17(1):11-3.

Hopkins A, Lahiri T, Salerno R, Heath B. Changing epidemiology of life-threatening upper airway infections: the reemergence of bacterial tracheitis. Pediatrics. 2006 Oct;118(4):1418-21.

Miranda AD, Valdez TA, Pereira KD. Bacterial tracheitis: a varied entity. Pediatr Emerg Care. 2011 Oct;27(10):950-3.

Narchi H, Basak R. Bacterial tracheitis-not always primary. Turk J Pediatr. 2008 Jul-Aug;50(4):409-11.

Marcos Alonso S, Molini Menchón N, Rodríguez Núñez A, Martinón Torres F, Martinón Sánchez JM. Traqueítis Bacteriana: una causa infecciosa de obstrucción de la vía aérea que hay que considerar en la infancia. An Pediatr (Barc). 2005 Aug;63(2):164-8.

Castelo M, Zagalo A, Gama E. Traqueíte Bacteriana; Acta Pediatr Port 2009; 40(6):265-7

Al-Mutairi B, Kirk V. Bacterial tracheitis in children: approach to diagnosis and treatment. Paediatr Child Health. 2004 Jan;9(1):25-30.Shargorodsky J, Lee GS, Whittemore KR. Bacterial tracheitis: a therapeutic approach. Laryngoscope. 2010;120 Suppl 4:S227.

Bernstein T, Brilli R, Jacobs B. Is bacterial tracheitis changing? A 14-month experience in a pediatric intensive care unit. Clin Infect Dis. 1998 Sep;27(3):458-62.

Nickinson A, Minhas JS, Bhalla M, Anwuzia-Iwegbu C, Chapman J. Never trust a croup... BMJ Case Rep. 2011 Jul 20;2011. pii: bcr0320114014.

Baldassari CM, Howell R, Amorn M, Budacki R, Choi S, Pena M. Complications in pediatric deep neck space abscesses. Otolaryngol Head Neck Surg. 2011 Apr;144(4):592-5.

Dawes LC, Bova R, Carter P. Retropharyngeal abscess in children. ANZ J Surg. 2002 Jun;72(6):417-20.

Published

2015-12-15

How to Cite

1.
Teixeira J, Pereira Ângela, Oliveira Ângela, Moreira F, Alves MC, Dias L, Gonçalves A, Moreira C. When bacterial tracheitis complicates. REVNEC [Internet]. 2015Dec.15 [cited 2022Aug.10];24(4):166-70. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/8480

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Section

Case Reports

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