Agonizing Cough of Croup Rising in Kids with COVID

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Agonizing Cough of Croup Rising in Kids with COVID
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The Omicron variant appears to be creating more cases in small children.

Growing numbers of children who test positive for the COVID-causing virus SARS-CoV-2 at hospitals this winter are showing up with a barking cough, the characteristic symptom of croup. Though this respiratory syndrome is usually mild, it may lead to more serious illness. An estimated one in 30,000 croup cases are fatal, according to a 2013 analysis derived from studies in a handful of countries, including Canada and the U.S.

Croup’s distinctive-sounding cough occurs when a child’s upper respiratory tract becomes inflamed and constricted around the vocal cords and airways, sometimes making it difficult to breathe. Other croup symptoms include a hoarse voice, throat pain and stridor—a creaking rattle when a child inhales. “It’s a frightening illness, especially for young parents,” says Jeffrey Starke, an expert in pediatric infectious disease at Texas Children’s Hospital.

It is unclear whether the Omicron variant is more likely to cause croup in children than previous strains of the novel coronavirus, experts say. But Omicron preferentially infects the upper airway. And in kids, inflammation and mucus can block the airways more easily than in adults.

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