Niamh Kennedy is a regular patient who visits your pharmacy to ask for advice regarding her toddler. She has been up all night with her two-year-old son, James. At 2am the previous night, she awoke to hear James coughing loudly in the adjacent bedroom. She describes the cough as sounding like a seal barking, and tells you it is continuous and that when he breathes in she notices a whistling sound. He also had a runny nose and a mild fever the day before this. What do you suggest?
What is croup?
Croup is an inflammation of the larynx and trachea, mostly seen in young children between the ages of three months and six years old.(1) Although rare, children aged over six years can get croup.