They Call It the "Anne of Green Gables Disease". Its Season Is Just Beginning

In one of the passages from the book about the adventures of "Anne of Green Gables", there is a mention of croup - a disease that Diana's younger sister contracts. The child was in a dire condition, with a high fever, difficulty breathing, and a terrifying "barking" cough. Subglottic laryngitis, known as croup, was a disease recognized in the 19th and early 20th centuries and is still prevalent today, especially in nurseries and kindergartens. How can it be treated?
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Subglottic laryngitis, or croup, is a respiratory illness primarily caused by viruses transmitted through droplets. It mainly affects children, and after infecting the mucous membranes of the upper respiratory tract, it causes characteristic swelling and a wheezing sound while breathing. It's essential to consult a specialist to initiate the proper treatment.

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Croup Symptoms: From Mild to Life-Threatening Conditions

A hallmark of subglottic laryngitis is the worsening of symptoms in the evening and at night. It typically starts with a fever, followed by a cough and mild hoarseness. After a few days, breathing difficulties begin to emerge, with shortness of breath, wheezing, and episodes of a "barking cough." In severe cases, these symptoms can wake the child from sleep, and the attacks may last up to 30 minutes, sometimes causing nausea and vomiting.

If symptoms worsen, seeing a specialist is a must. Occasionally, the doctor may recommend an X-ray of the child’s neck or a virological test if the symptoms aren't clearly indicative of croup.

Treatment and Recovery: Avoiding Smoke and Pollutants

Initial home treatment for subglottic laryngitis includes ensuring well-ventilated rooms, as fresh and cool air helps with breathing. More intense croup symptoms can be relieved with warm steam inhalation (e.g., having the child inhale steam over a bowl of hot water). However, a doctor's visit is always necessary to prescribe the appropriate medication. Mild cases often require glucocorticosteroids administered via injection, inhalation, or orally. In most cases, symptoms subside quickly, allowing the child to return home.

Treatment for more severe cases may differ, requiring the child to be hospitalized. Depending on the doctor’s decision, medication may be combined with intubation. In managing this illness, it's crucial to ventilate rooms regularly and strictly avoid exposure to tobacco smoke.