Severely ill child, starts out as viral prodrome
Followed by inspiratory and expiratory stridor, respiratory distress, and copious purulent secretions
Difficult to differentiate from croup and epiglottitis
Severe decompensation, high fever, purulent secretions help differentiate
May also have concomitant pneumonia
May have been treated with racemic epinephrine and steroids for croup, with no clinical improvement
Followed by inspiratory and expiratory stridor, respiratory distress, and copious purulent secretions
Severe decompensation, high fever, purulent secretions help differentiate
May also have concomitant pneumonia
Bacterial tracheitis
Laryngotracheomalacia
Croup
Accounts for 60%
Peritonsillar abscess
Usually exacerbated by viral URI
Epiglottitis
Dx w/ flexible fiberoptic laryngoscopy