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A viral infection of the throat and windpipe (voice box and trachea). Makes the airway narrow and causes breathing problems.

False Croup (Pseudocroup)

Key Messages

  • False croup is a viral infection that causes airway narrowing and breathing problems, mostly in children aged 6 months to 5 years.
  • Typical symptoms include a barking cough, noisy breathing, hoarse voice, and sometimes bluish lips.
  • Keep the child calm, upright, and hydrated; use paracetamol or ibuprofen for fever, but do not give antibiotics.
  • Go to the hospital immediately if the child has trouble breathing, bluish lips, is very weak, or has trouble swallowing.
  • Prevent false croup by practicing good hygiene, keeping vaccinations up to date, and avoiding tobacco smoke.
Introduction

What is False Croup?

  • A viral infection of the throat and windpipe (voice box and trachea).
  • Makes the airway narrow and causes breathing problems.
  • Common in children 6 months – 5 years.
  • It is usually worse at night and better in the day.
Discussion

Signs and Symptoms

  • Barking cough (like a seal or dog).
  • Noisy breathing (high-pitched or whistling sound).
  • Hoarse voice or no voice.
  • Runny nose, mild fever, cold-like symptoms.
  • Shortness of breath (child struggles to breathe).
  • Bluish lips (sign of low oxygen).

 

What You Can Do at Home

  • Keep your child calm and comforted – crying makes it worse.
  • Sit them upright (not lying flat).
  • Make the child with pillows to reduce coughing
  • Give lukewarm water to soothe the throat.
  • Make sure the room has fresh, cool air.
  • Use paracetamol or ibuprofen for fever if needed.
  • Do not give antibiotics (they don’t work against viruses).
  • Avoid smoke, dust, or strong smells.

 

When to Go to the Hospital Immediately

  • Child is struggling to breathe (ribs sucking in, fast breathing).
  • Bluish lips or face.
  • Child is too weak, floppy, or difficult to wake.
  • Persistent noisy breathing even when calm.
  • Drooling or trouble swallowing.

 

How to Prevent False Croup

  • Wash hands with soap and water often.
  • Teach children to cover coughs and sneezes.
  • Keep toys and surfaces clean.
  • Keep sick children at home until they are better.
  • Ensure vaccinations are up to date.
  • Avoid tobacco smoke near children.

 

 

Conclusion

False croup is usually mild, but sometimes it can become dangerous.
Most children get better in a few days, but if breathing is hard or lips turn blue – go to the hospital immediately.

References
  • WHO. Pocket Book of Hospital Care for Children, 2nd Ed. 2013.
  • Bjornson CL, Johnson DW. Croup in children. CMAJ. 2013.
  • Cherry JD. Croup. N Engl J Med. 2008.