[Laryngitis epidemic (893 cases of acute laryngotracheitis and spastic croup). II. Clinical, diagnostic and therapeutic aspects].
We retrospectively review 893 cases of children, occurred in epidemic bout in September-October 1987, in order to study the usual management of his pathology in our hospital. In most cases (82.3%) diagnose was laryngitis or acute laryngitis without specification acute laryngotracheitis or spasmodic group. Epiglottitis was no detected in any case. Complementary tests were performed only in 5% of the patients, but they were of little help for the diagnose. Treatment applied was ambiental hummidiffication (95.5%), followed by water and alcohol impregned neck collar (87.2%), rectal magnesium-sulfate + papaverine (67.5%), epinephrine nebulization (63%), antibiotics (44.3%), steroids (9%), bronchodilatadors (4.8%). This therapeutic approach is discussed.
Departamento de Pediatría, Hospital Clinico Infantil La Paz, Facultad de Medicina, Universidad Autónoma, Madrid.
J
J
González de Dios
J
J
Ramos Lizana
C
C
López López
D000208:Acute Disease; D000336:Aerosols; D001993:Bronchodilator Agents / Q000627:therapeutic use; D002648:Child; D003440:Croup / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D004196:Disease Outbreaks; D006801:Humans; D006813:Humidity; D007826:Laryngismus / Q000175:diagnosis / Q000453:epidemiology / Q000628:therapy; D007827:Laryngitis / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D013030:Spain / Q000453:epidemiology; D014136:Tracheitis / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy
D000336:Aerosols; D001993:Bronchodilator Agents
Epidemia de laringitis (893 casos LTA y CE). II. Aspectos clínicos, diagnósticos y terapéuticos.