Bacterial tracheitis; Acute bacterial tracheitis
Tracheitis is a bacterial infection of the windpipe (trachea).
Bacterial tracheitis is most often caused by the bacteria Staphylococcus aureus. It often follows a viral upper respiratory infection. It affects mostly young children. This may be due to their tracheas being smaller and more easily blocked by swelling.
- Deep cough (similar to that caused by croup)
- Difficulty breathing
- High fever
- High-pitched breathing sound (stridor)
Exams and Tests
The health care provider will perform a physical exam and listen to the child's lungs. The muscles between the ribs may pull in as the child tries to breathe. This is called intercostal retractions.
Tests that may be done to diagnose this condition include:
The child often needs to have a tube placed into the airways to help with breathing. This is called an endotracheal tube.
The child will receive antibiotics through a vein. The health care team will closely monitor the child's breathing and use oxygen, if needed.
With prompt treatment, the child should recover.
Complications may include:
When to Contact a Medical Professional
Tracheitis is an emergency medical condition. Go to the emergency room right away if your child has had a recent upper respiratory infection and suddenly has a high fever, a cough that gets worse, or trouble breathing.
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Meyer A. Pediatric infectious disease. In: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Head & Neck Surgery. 6th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 197.
Weiner DJ, Finder JD. Pulmonary disorders. In: Zitelli, BJ, McIntire SC, Norwalk AJ, eds.
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