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    The larynx and trachea may become inflamed or swollen from an upper respiratory viral infection. The hallmark sign of croup is a harsh, barking cough. This cough may be preceded by one to three days of symptoms that resemble a slight cold. A croupy cough is often accompanied by a runny nose, hoarseness, and a low fever. When the child inhales, there may be a raspy or high-pitched noise, called stridor, owing to the narrowed airway and accumulated mucus. In the presence of stridor, medical attention is required.

    However, the airway rarely narrows so much that breathing is impeded. Symptoms usually go away completely within a few days. Medical treatment may be sought if the child's symptoms do not respond to home treatment.

    Emergency medical treatment is required immediately if the child has difficulty breathing, swallowing, or talking; develops a high fever (103°F/39.4°C or more); seems unalert or confused; or has pale or blue-tinged skin.

    Source: The Gale Group. Gale Encyclopedia of Medicine, 3rd ed.";

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