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May 1934

OBSTRUCTIVE LARYNGITISA CRITICAL ANALYSIS OF THREE HUNDRED AND FIFTY-TWO CASES

Author Affiliations

MINNEAPOLIS
From the Department of Pediatrics, University of Minnesota and the Contagious Division of the Minneapolis General Hospital.

Am J Dis Child. 1934;47(5):970-987. doi:10.1001/archpedi.1934.01960120028004
Abstract

Obstructive laryngeal dyspnea, a serious symptom complex which often requires emergency relief, develops so frequently from an apparently innocent case of laryngitis, that it remains a constant problem to general practitioners and pediatricians.

Although the causes of this condition are numerous, it is our intention to limit this paper to a consideration of cases of infectious origin. The appalling institutional mortality from obstructive laryngitis, often due to delay in the recognition of impending asphyxia and its causes, demands greater diligence for early precise differentiation in that group of conditions commonly designated as "croup." During the past twelve years, 352 patients with alleged laryngeal diphtheria were admitted to the contagious division of the Minneapolis General Hospital. Of this number 103 patients, or 29 per cent, died—a mortality rate which should emphasize the seriousness of this type of disease. Thirty-five of the deaths occurred during or very shortly after admission, in spite

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