Viral croup, a common illness in children, manifests with noisy, labor
ed breathing, Parainfluenza viruses are the most common cause of croup
; however, other causes including epiglottitis and bacterial tracheiti
s should be considered in the differential diagnosis. The diagnosis is
primarily based on clinical findings; imaging studies may be useful i
n selected cases. Although most children recover from this self-limite
d illness with only minimal medical intervention, some are severely af
fected by laryngeal swelling and require respiratory support with anal
gesics, cool mist, corticosteroids, nebulized epinephrine, heliox, and
, rarely, intubation, In this article, the current diagnostic and mana
gement strategies for viral croup are summarized.