Article Data

  • Views 1397
  • Dowloads 128

Case Report

Open Access

Serious complications of an obstructive upper airway infection in a young child


1,Children's Hospital Zagreb

2 Department of anesthesiology, reanimatology and intensive care

DOI: 10.22514/SV41.042009.7 Vol.4,Issue 1,April 2009 pp.30-32

Published: 09 April 2009

*Corresponding Author(s): SANDRA KRALIK E-mail:


A 15-month old boy was admitted to our intensive care unit (ICU) cyanotic, unresponsive, apneic, pulseless, with fixed, dilated pupils and a Glasgow Coma Score (GCS) of 3/15. Prompt cardiopulmonary resuscitation (CPR) was initiated and cardiac function was resumed after 10 minutes. The boy was intubated but could not be ventilated because of a thick, viscous secretion obstructing the trachea and causing total airway obstruction. Bronchoscopy revealed laryngotracheitis as the reason for airway obstruction. A computed tomography (CT) scan of the brain showed diffuse edema and ischemic brain injury, which were considered responsible for the boy’s comatose situation. Clinical status remained unchanged for 11 days, after which the boy was transported to another hospital. In children presenting with upper airway obstructing syndromes, not responding to therapy, the diagnosis of bacterial tracheitis should be considered and the child should be monitored in a pediatric intensive care unit.


children, respiratory infection, airway obstruction, bacte-rial tracheitis

Cite and Share

SANDRA KRALIK,IVAČICA ŠKARIĆ,DIANA BUTKOVIĆ,LILI MIKECIN,KARMEN KONDŽA ,JASMINKA JAKOBOVIĆ. Serious complications of an obstructive upper airway infection in a young child. Signa Vitae. 2009. 4(1);30-32.


1. Mardeši􀀁 D. Respiratory tract diseases. In: Mardeši􀀁 D, editor. Paediatrics. 6th ed. Zagreb(ZG): Školska knjiga; 2000. p. 763-813.

2. Infectious diseases. In: Beers MH, Berkow R, Bogin RM, Fletcher AJ, editors. The Merck Manual of Diagnosis and Therapy. 17th ed. Whi-tehouse Station N.J.: Merck & Co; 1999. p. 1085-1339.

3. McEvan J, Giridharan W, Clarke RW, Shears P. Paediatric acute epiglottitis: not a disappearing entity. Int J Pediatr Otorhinolaryngol 2003;67(4):317-21.

4. Wood N, Menzies R, McIntyre P. Epiglottitis in Sydney before and after the introduction of vaccination against Haemophillus influenzae type b disease. Intern Med J 2005;35(9):530-5.

5. Hopkins A, Lahiri T, Salerno R, Heath B. Changing epidemiology of life-threatening upper airway infections: the re-emergence of bacterial tracheitis. Paediatrics 2006;118(4):1418-21.

6. Sobol SE, Zapata S. Epiglottitis and croup. Otolaryngol Clin North Am 2008;41(3):551-66.

7. Devlin B, Golchin K, Adair R. Paediatric airway emergencies in Northern Ireland, 1990-2003. J Laryngol Otol 2007;121(7):659-63.

8. Oymar K. Bacterial tracheitis in children. Tidsskr Nor Laegeforen 2000;120(12):1417-9.

9. Rajan S, Emery KC, Sood SK. Bacterial tracheitis. [Online]. 2006 Oct 19 [citied 2008 Sept 19]; Available from: URL:

10. Donnelly BW, McMillan JA, Weiner LB. Bacterial tracheitis: report of eight new cases and review. Rev Infect Dis 1990;12:729-35.

11. Britto J, Habibi P, Walters S, Levin M, Nadel S. Systemic complication associated with bacterial tracheitis. Arch Dis Child 1996;74:249-50.

12. Labourel H, Emeiraud G, Ladwig M, Koch FX, Menthonnex E. Out-of-hospital cardiac arrest in children with bacterial tracheitis. Arch Pediatr 2008;15(3):279-82.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Chemical Abstracts Service Source Index The CAS Source Index (CASSI) Search Tool is an online resource that can quickly identify or confirm journal titles and abbreviations for publications indexed by CAS since 1907, including serial and non-serial scientific and technical publications.

Index Copernicus The Index Copernicus International (ICI) Journals database’s is an international indexation database of scientific journals. It covered international scientific journals which divided into general information, contents of individual issues, detailed bibliography (references) sections for every publication, as well as full texts of publications in the form of attached files (optional). For now, there are more than 58,000 scientific journals registered at ICI.

Geneva Foundation for Medical Education and Research The Geneva Foundation for Medical Education and Research (GFMER) is a non-profit organization established in 2002 and it works in close collaboration with the World Health Organization (WHO). The overall objectives of the Foundation are to promote and develop health education and research programs.

Scopus: CiteScore 1.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Embase Embase (often styled EMBASE for Excerpta Medica dataBASE), produced by Elsevier, is a biomedical and pharmacological database of published literature designed to support information managers and pharmacovigilance in complying with the regulatory requirements of a licensed drug.

Submission Turnaround Time