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June 1936


Arch Otolaryngol. 1936;23(6):686-690. doi:10.1001/archotol.1936.00640040698010

Acute fulminating laryngotracheobronchitis in children has been described by various writers. There is, however, a great paucity of literature concerning this condition in adults. The disease is usually seen in children from several months to about 9 years of age, the most frequent incidence being between 2 and 4 years. It is an extremely serious condition, owing to the obstruction of the respiratory tract by the swelling of the mucous membrane lining the trachea and bronchi and, lying on this swollen mucous membrane, a sticky, gummy exudate or secretion, which in turn causes more obstruction.

The typical case history is as follows: The child awakens at night with symptoms resembling those of spasmodic croup, with inspiratory dyspnea and hoarseness. Fever is usually present. Remedies such as those administered in cases of croup have practically no effect on the respiratory difficulty, and one thinks of diphtheria, or possibly a foreign body