• Am J Emerg Med · May 1991

    Review Case Reports

    Pneumococcal bacterial tracheitis.

    • J B Orenstein, J R Thomsen, and S B Baker.
    • Department of Emergency Medicine, Children's National Medical Center, Washington, DC 20010.
    • Am J Emerg Med. 1991 May 1;9(3):243-5.

    AbstractBacterial tracheitis is an uncommon cause of acute respiratory distress in children. The authors present a case of bacterial tracheitis in a 6-year-old girl caused by an unusual pathogen, Streptococcus pneumoniae. Her clinical presentation and radiographic findings are typical for an older child. Management of this case involved endotracheal intubation, although a review of the literature suggests that airway management can vary with age and size of the tracheal lumen. The microbiology of bacterial tracheitis shows a predominance of Staphylococcus and Streptococcus reported previously, with only three prior reported cases of Pneumococcus.

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