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Croup — The Bark Is Worse Than the Bite

2004; Massachusetts Medical Society; Volume: 351; Issue: 13 Linguagem: Inglês

10.1056/nejmp048231

1533-4406

Perri Klass,

Healthcare Systems and Technology

It is a cliché of primary care pediatrics: on call in the winter, you find yourself on the telephone with a worried parent who is anxiously trying to describe a baby's symptoms — and then, in the background, you hear the barking. I regularly joke with other pediatricians about the things we're asked to diagnose over the phone (“Could you just hold the receiver right up to the rash?”), but croup is an easy long-distance diagnosis. Parents call at night because croup gets worse at night. The barking cough can be terrifying to a parent who hasn't heard it before, . . .