Medical history (history of illness) is an important component in the diagnosis of tracheitis (inflammation of the trachea). Family history What is the general health of your family members? Are there any diseases in your family that are common? Social history What is your profession? Are you exposed to harmful working substances in your profession? … Tracheitis: Medical History
Respiratory System (J00-J99) Epiglottitis (inflammation of the epiglottis). Laryngitis, acute (laryngitis). Pseudocroup (subglottic laryngitis) – viral laryngitis. Tracheitis Allergic Chemical-irritative Infectious Mechanical-irritative Infectious and parasitic diseases (A00-B99). Inflammation of the upper respiratory tract: Viral: adenoviruses, RS virus, parainfluenza viruses. Bacterial: Haemophilus influenzae, Klebsiella pneumoniae, Staphylococcus aureus, Streptococcus pneumoniae. Symptoms and abnormal clinical and laboratory findings … Tracheitis: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by tracheitis (inflammation of the trachea): Respiratory system (J00-J99) Restriction of breathing (e.g., due to stenosing tracheitis). Pneumonia (pneumonia)
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Auscultation (listening) to the lungs. ENT medical examination – including laryngoscopy (laryngoscopy).
The following symptoms and complaints may indicate tracheitis (tracheitis): Main symptoms Pain on inhalation/burning sensation retrosternally (behind the sternum). Hoarseness Cough Stridor (whistling breathing sound) Occasional dyspnea (shortness of breath) Feeling of dryness Formation of viscous purulent secretion (in children with severe edematous swelling of the mucous membrane). Secondary symptoms General feeling of illness Fever
Pathogenesis (development of disease) According to the cause, the following forms can be distinguished: Allergic Chemical-irritant Infectious: Viral: adenoviruses, RS virus, parainfluenza viruses. Bacterial: Haemophilus influenzae, Klebsiella pneumoniae, Staphylococcus aureus, Streptococcus pneumoniae. Mycotic: Candia mycoses (in immunodeficiency / immune deficiency). Mechanical-irritative Etiology (causes) Behavioral causes Pleasure food consumption Tobacco (smoking) – nicotine abuse Disease-related causes … Tracheitis: Causes
General measures In viral tracheitis, humidification of the breathing air may provide relief Nicotine restriction (abstaining from tobacco use). Operative therapy Tracheostomy (tracheotomy) – in severe cases of stenosing tracheitis or pseudomembranous tracheobronchitis. Nutritional medicine Nutritional counseling based on nutritional analysis Nutritional recommendations according to a healthy mixed diet taking into account the age. This … Tracheitis: Therapy
Laboratory parameters of the 2nd order – depending on the results of the history and physical examination. Small blood count Inflammatory parameters – CRP (C-reactive protein).
Therapeutic target Elimination of the pathogens (if bacterial). Alleviation of discomfort Healing Therapy recommendations Antibiosis (antibiotics) if necessary: cephalosporins (cefachlor, cefuroxime axetil), aminopenicillins (amoxicillin), macrolides (clarithromycin), fusafungin (fusafungin). If necessary, mucolytics (expectorant drugs), antitussives (cough suppressants). Inhalations, several times a day with saline solutions / saline solutions and possibly additions of essential oils or chamomile … Tracheitis: Drug Therapy
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnosis. Tracheoscopy (reflection of the trachea) – only in severe cases.
To prevent tracheitis (inflammation of the trachea), attention must be paid to reducing individual risk factors. Behavioral risk factors Consumption of stimulants Tobacco (smoking) – nicotine abuse Environmental pollution – intoxications (poisoning). Chemical irritant tracheitis – caused by chemical substances such as irritant gas. Mechanical-irritant tracheitis – caused by mechanical stimuli.
