There is typically a 1- to 5-day prodrome consisting of cough, coryza, and occasionally other upper respiratory infection-type symptoms. This is followed by a 3- to 4-day period of barking cough. The cough is typically worse in the late evening and at night and may occur strictly during these times. Children may or may not have a low-grade fever during the illness. The typical duration of symptoms ranges from 3 to 7 days regardless of the treatment. Typically the third and fourth days are the
FIG. 129-3. Lateral neck view of a child with epiglottitis.
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