Symptoms of acute laryngitis
Last reviewed: 23.04.2024
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Symptoms of acute laryngitis (false croup) usually develop on the 2nd-2nd day of acute infection of the upper respiratory tract and are characterized by hoarseness. When acute laryngotracheitis joins a sonorous "barking" cough. In the lungs - wired dry wheezing rales, they are listened to mainly by inhalation. The child is excited.
Acute stenosing laryngitis characterizes a triad of symptoms - hoarseness of voice, sonorous "barking" cough and noisy breathing - stridor of the larynx, which manifests itself mainly as inspiratory dyspnea. In addition, dry whistling wheezing can be heard, mainly on inhalation. The child shows a pronounced anxiety, excited. The temperature response depends on the reactivity of the child's organism and on the causative agent of acute laryngitis. So. With parainfluous etiology and PC-viral temperature reaction is moderate, with influenza aetiology the temperature is high. During the day, inspiratory dyspnoea and the severity of airway obstruction vary from almost complete disappearance to severe, but are most pronounced at night.
[Clinically, four degrees of stenosis of the larynx
- I degree (compensated) is characterized by inspiratory dyspnea in case of a child's anxiety, "barking" with a dry cough. Auscultatory note lengthening of inspiration, single wire whistling wheezing in the lungs.
- II degree (subcompensated) is characterized by the appearance of noisy breathing, inspiratory dyspnea at rest with the involvement of intercostal and jugular fossa, hoarseness of voice, "barking" cough. In the lungs, scattered wire dry rales are heard, mostly on inspiration. Characteristic of the appearance of perioral cyanosis, tachycardia. The child is excited, they notice motor anxiety, sleep disturbance.
- III degree of stenosis of the larynx (decompensated) is characterized by a coarse "barking" cough, dysphonia, pronounced inspiratory dyspnea, intercostal involvement, the pit of the pit and epigastric region during respiration, the appearance of paradoxical breathing. In prognostically unfavorable cases, dyspnea becomes mixed. Typical tachycardia, a frequent threadlike pulse, dropping on inspiration, a general cyanosis, confusion. Auscultation is listened to by variously moist wet and dry wheezes, both on inhalation and exhalation, determine the muffling of heart sounds.
- IV degree (terminal) is characterized by confusion of consciousness, hypoxic coma, convulsions. Breathing is superficial, arrhythmic. Disappear stridor and a rough "barking" cough. The bradycardia increases, the arterial pressure decreases.
Complications of acute laryngitis
Stenosing acute laryngitis of II-III and III degree of severity of viral genesis due to disruption of the respiration process tends to develop bacterial inflammation with the formation of fibrinous, fibrinous-purulent films, the spread of inflammation in the lower respiratory tract with the development of purulent laryngotracheitis, bronchitis and pneumonia.