Acute Infectious Laryngitis

Clinical features

• Sore throat, cough, croup
• Mild course
• Respiratory distress unusual

Treatment

• IVF: Isolyte-P maintenance
• Complete bedrest
• O2 for hypoxia
• Intubation when respiratory distress increases
• Drugs not useful

Acute Bronchitis

• Usually does not exist as such in children as in adults. But seen associated with other conditions like asthmatic bronchitis and bronchiolitis

Clinical Features

• History of preceding URI
• Hacking unproductive cough
• Chest pain

On Examination

• Whistling sound during respiration
• Signs of nasopharyngitis
• Rhinitis and conjunctivitis
• Bilateral wheeze

Treatment

• No specific treatment
• Frequent shift of position
• Judicious use of cough suppressants
• Antihistamines are contraindicated (Note: When repeated attacks occur investigate for congenital anomalies of respiratory tract, foreign body aspiration, bronchiectasis, tuberculosis, cystic fibrosis, etc.