Which procedures may be indicated in the diagnosis of croup, and should they be performed by a specialist?

Updated: Oct 09, 2019
  • Author: Germaine L Defendi, MD, MS, FAAP; Chief Editor: Russell W Steele, MD  more...
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Answer

Laryngoscopy is indicated only in unusual circumstances (eg, the course of illness is not typical, the child has symptoms that suggest an underlying anatomic or congenital disorder). This procedure may also be required for those patients with bacterial tracheitis to obtain the necessary cultures, in an attempt to properly tailor antibiotic treatment. Other procedures that may be indicated and require the guidance of a pediatric otolaryngologist include the following:

  • Direct laryngoscopy, if the child is not in acute distress

  • Fiberoptic laryngoscopy

  • Bronchoscopy (for cases of recurrent croup to rule out airway disorders) [17]


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