Acute laryngotracheitis: code, ICD-10, symptoms and treatment
What is the laryngotracheitis
Laryngotracheitis is striking the trachea and larynx of infectious-inflammatory process, which is accompanied by signs of acute respiratory infections. In people it is called croup. Most often it is a consequence of neglected colds, or exacerbations of herpes infection. Children, due to anatomical features of the structure of the larynx susceptible to this disease more often than adults. But those and other equally suffer from painful cough, causing respiratory and other unpleasant symptoms. Below we will deal with how to treat laryngotracheitis and talk about its cause causes and the signs that allow to recognize the disease and not allow him to accept the protracted nature of the flow.
The etiology of laryngotracheitis
Mostly this disease develops on the background of respiratory viral infection, when the inflammation extends to the larynx downward. But we can not exclude the ascending path of its development when it is accompanied by bronchitis, bronchiolitis and pneumonia.
Because laryngotracheitis is an infectious nature caused by its development become pathogenic viruses and bacteria that penetrate our body through the upper respiratory tract.
It can cause the following diseases:
- Pharyngitis and laryngitis;
- The flu and ORVI
- Rubella, measles, etc.;
Bacterial form of laryngotracheitis cause many pathogens, for example, streptococci and pneumococci. They are transmitted from an infected person by airborne droplets.
Neither in the case of viruses, and in the case of bacteria, the infection is not always the case. Provoking this disease factor is a weakened organism, which is called:
- Systematic hypothermia;
- Foci of chronic infection;
- Indolent inflammation;
- Congestion in the respiratory tract and nasal sinuses;
- Unfavorable ecological situation;
- Diabetes mellitus;
- Occupational hazard;
- High loads on the vocal cords;
As you can see, there are many reasons which can develop bacterial or viral laryngotracheitis. What it is we already understood, we now turn to the study of the classification of this nasty disease and its main symptoms.
Kinds laryngotracheitis and their symptoms
As we’ve done above, the causative agent of this disease can be viral, bacterial, or viral and bacterial. And the nature of the flow it can be acute and chronic.
Acute laryngotracheitis code according to the ICD-10 continues for a couple of weeks, followed by full recovery. It is characterized hyperemia mucous membrane of the larynx and accumulation of exudate there knoevenagel. Sometimes, when the penetration into the mucosa it can be observed thickening. The consistency of the fluid changes throughout the disease. First, he is quite runny, but thickens very quickly and within the period of the crisis, he turns into a fibrinous film. When bacterial nature of this disease the film immediately turn into crusts, which, in severe cases, may completely fill the lumen of the larynx.
Symptoms of the acute form of this disease appear on the background of the General symptoms of acute respiratory infection. Cheerleaders must:
- «Barking» cough, characterized by a pronounced pristupoobraznoe;
- Worse at night pain in the chest and behind her;
- Abundant expectoration of Muco-purulent consistency.
- Discomfort in the larynx;
- Characteristic hoarseness and the appearance of wheezing.
Quite often, but not always seen in patients the severity of the cervical lymph nodes.
The chronic form of this disease develops as a consequence of the running of the acute form and is characterized by periodic remissions and exacerbations. The cough and the discomfort starts to pester patients mainly in the cold season. This disease in the chronic form may be:
Hypertrophic laryngotracheitis distinguishes hyperplasia of the mucous membrane of the larynx, infiltration of the muscles of the trachea, thickening of the vocal cords. He’s a threat to the development of cysts and ulcers of the throat, and prolapse of its ventricle.
Atrophic form of this disease is characterized by keratinization of the upper layer of the mucosa of the larynx, its muscles atrophy, thinning of the vocal cords, education in place of liquid secretion of tracheal crusts.
Catarrhal laryngotracheitis is characterized by the fact that gipermenoree mucosa of the larynx clearly emerges bluish tinge in her the submucosal layer there is a huge number of small hemorrhages due to increased permeability of the vessels.
Symptoms in the chronic form of this disease will not be pronounced. The main complaints of the patients usually loss of voice and a pronounced discomfort in the region of the larynx, sometimes behind the breastbone.
Quite often long duration of this illness provokes fatigue, depression, neurosis, sleep disturbance. Cough with laryngotracheitis with sluggish over the patient constantly pursues and manifests itself most often attacks.
Methods of diagnosis and treatment
Experienced doctor suspect laryngotracheitis may already after internal inspection and hearing of complaints of the patient. But in order to make a correct diagnosis it is, without fail, will appoint a number of surveys and laboratory tests. Namely:
- The cultures of smears of the mucosa of the throat and nasal passages;
- The cultures of sputum;
- Analysis and microscopy of sputum with provocation;
- X-rays of the trachea, larynx and lungs;
- PCR and other studies of the stroke.
In addition, when chronic course of this disease and detected in course of examination of a patient with hypertrophic and atrophic changes in the state of the larynx can be assigned to conduct an endoscopic biopsy.
Laryngotracheitis can masquerade as other diseases, so a full diagnosis is necessary to exclude development of such diseases as cancer or papillomatosis of the larynx, retropharyngeal abscess, diphtheria and bronchial asthma. To be deleted and the variant of presence of a foreign body in the larynx or trachea.
If diagnosed with acute stenosing laryngotracheitis, symptoms and treatment which we consider in our article, the patient, in the absence of complications, can be treated as outpatients, strictly in accordance with prescribed doctor scheme.
In case of viral etiology, the patient is assigned to receive lethal doses of antiviral drugs and together with them to facilitate the course of the disease means:
- The antihistamines;
Quite effective are inhalations with nebulizer when laryngotracheitis. Have to choose oil or an alkaline solution, small grains which penetrate deeply into the trachea and will have a local therapeutic effect.
This regimen, with all the appointments of a specialist will allow you to achieve full recovery in the acute form of this disease. Antibiotic when laryngotracheitis is assigned only when the identification of a bacterial nature. Were most commonly prescribed antibacterial drugs of a new generation with broad spectrum of action, which are equally good for all possible pathogens.
Slightly more complicated is the case with chronic laryngotracheitis. In this case, the above-described treatment is purpose of vitamins, immunomodulators and physiotherapeutic procedures. If drug therapy does not give proper result, patients with atrophic and hypertrophic form of the disease is assigned to the operation. In all other cases, all of the above is enough to overcome the chronic laryngotracheitis.
Treatment at home folk remedies would be the process of inhaling steam of boiled potatoes that contain volatile essential oils, and to comply with the following guidelines:
- Regular airing and hydration of the premises;
- Smoking cessation;
- Minimized conversation in a whisper;
- The contents of the trachea and larynx warm.
How to treat laryngotracheitis in your particular case I would say doctor, we can only add that this disease is left untreated, it can lead to bronchiolitis, pneumonia, croup, and about benign tumors of the larynx. Therefore, self-treatment when the first alarming signs will need to withdraw immediately and seek medical advice.