Chances of rescuing children with acute laryngitis

Written by Bai Yan Hui
Pediatrics
Updated on September 03, 2024
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Acute laryngitis in children is mostly caused by viral infections and is self-limiting. However, severe cases of laryngitis can progress to third or fourth degree laryngeal obstruction, which are serious conditions requiring urgent treatment, including intubation or tracheotomy, the use of strong antibiotics, and the application of corticosteroids. Generally speaking, unless it is particularly severe or treatment is sought very late, it is very difficult to administer emergency treatment. For the most part, acute laryngitis in children is relatively easy to control and recover from. Therefore, it is very important to seek medical attention early and receive timely and correct treatment to avoid missing the opportunity for emergency intervention, which could lead to lifelong regrets.

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Written by Bai Yan Hui
Pediatrics
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Does acute laryngitis in children cause fever?

Generally speaking, acute laryngitis in children is accompanied by fever, as it is caused by viral or bacterial infection. Inflammatory response: redness, swelling, heat, and pain. Local reaction: In children, local infections can easily lead to systemic symptoms, especially fever, which can vary in intensity but generally remains relatively easy to reduce. It is unlikely to be extremely high fever. If the body temperature exceeds 38 degrees Celsius, or if the child shows poor spirits during fever, oral antipyretics or rectal fever suppositories can be used to alleviate the symptoms of fever.

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Written by Bai Yan Hui
Pediatrics
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Does acute laryngitis in children require hospitalization?

This issue, depending on the child’s clinical symptoms and signs, needs to be treated differently. If hospitalization is necessary, it generally manifests as poor spirits and signs of laryngeal obstruction. Or, if in the outpatient hospital treatment through oral and nebulized therapies are ineffective, hospital admission may be considered, especially with careful observation for progression of laryngeal obstruction. Some children may also have persistent high fever that does not subside, possibly leading to convulsions and dehydration. After admission, close monitoring of vital signs and management of complications can be provided.

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Written by Bai Yan Hui
Pediatrics
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Does acute laryngitis in children recur?

Acute laryngitis in children can recur, similar to tonsillitis. Some children may have inherently lower immune function in the larynx, or a relative defect, which makes them prone to inflammation in the larynx whenever there is an upper respiratory infection. Therefore, we generally inform parents that if the child has a history of laryngitis, they should be aware of this condition in the future, especially of sudden respiratory difficulty at night and hoarseness. It is important to pay attention as laryngitis tends to worsen at night, and if it occurs, we recommend seeking medical attention promptly.

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Written by Bai Yan Hui
Pediatrics
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What causes acute laryngitis in children?

Pediatric acute laryngitis is generally considered to be an infection, with viral infections being most common, accounting for about 80% of cases. This includes respiratory syncytial virus, influenza virus, parainfluenza virus, and Coxsackievirus, all of which can cause acute laryngitis. Of course, there are also cases caused by bacterial infections, with gram-positive bacteria being more common. Additionally, special circumstances such as procedures, gastroscopy, bronchoscopy, etc., can cause laryngeal injuries, or the ingestion of irritant food items might also damage the laryngeal tissues, subsequently leading to symptoms of laryngitis.

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Written by Bai Yan Hui
Pediatrics
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What to do with acute laryngitis in children?

Acute laryngitis in children is considered a pediatric emergency, but the severity of laryngitis varies. Mild cases can be managed at home with symptomatic treatment, while severe cases should seek medical attention promptly. To distinguish whether to visit a hospital or manage at home, first observe the overall condition, including mental status, eating habits, and whether there is persistent or recurrent fever, cyanosis, or difficulty breathing. If these symptoms are present, visit the hospital promptly to receive symptomatic treatment and quickly address the inflammation of the larynx to alleviate the worsening of the disease.