Tracheitis

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Classification according to ICD-10
J04.1 Acute tracheitis
J04.2 Acute laryngotracheitis
J42
Unspecified chronic bronchitis Chronic tracheitis
Chronic tracheobronchitis
J37.1 Chronic laryngotracheitis
ICD-10 online (WHO version 2019)

A tracheitis (of trachea and -itis ) is an inflammation of the trachea , the infectious , allergic or may be chemically irritative conditionally.

Occurrence

Tracheitis rarely occurs in isolation, that is, without further symptoms . The disease usually occurs in combination with a runny nose ( rhinitis ), inflammation of the larynx ( laryngitis ) or inflammation of the bronchi ( bronchitis ). The disease often occurs in the winter months.

Various gases, vapors or dusts with substances that irritate the mucous membranes can also cause tracheitis. Potential irritants are, for example, cigarette smoke , sulfur dioxide , nitrous gases , ozone and ammonia .

to form

Acute tracheitis

The acute tracheitis is often by a viral infection caused. The symptoms of tracheitis, which are difficult to distinguish clinically from epiglottitis , are hoarseness , cough , burning sensation under the breastbone ( retrosternal burning sensation) and symptoms of flu . Acute tracheitis is a common side effect of a virus-related infection of the nose, throat, larynx or bronchial mucosa.

Chronic tracheitis

In long standing than three months irritable cough is called a chronic tracheitis . The causes are chronic inhalation damage ( tobacco consumption ), constrictions ( stenoses ) of the windpipe, mechanical obstacles or tracheomalacia , a disease that is characterized by slackening of the windpipe.

Diagnosis

The diagnosis can be made by the doctor with a wooden mouth spatula , which presses down the tongue and thus allows a view into the throat and larynx. It may be necessary to use a laryngoscope ( laryngoscope ).

therapy

If symptoms persist for more than a few days, there is a risk of additional bacterial infections (“superinfections”) that must be treated with antibiotics. Basically, a hoarseness that lasts more than two weeks should be clarified by a specialist, as it can also be a possible malignant disease.

If the virus-related course is normal, no special drug treatment is necessary. The condition usually heals within a week.

literature

  • Horst Ganz: ear, nose and throat medicine. 2nd edition, de Gruyter, Berlin 1996, ISBN 3-11-014742-4 .
  • Rudolf Probst et al .: Ear, Nose and Throat Medicine. 2nd edition, Thieme, Stuttgart 2004, ISBN 3-13-119032-9 .
  • Gerd Herold et al .: Internal Medicine 2007. Self-published, Cologne 2007.

Individual evidence

  1. a b c d Inflammation of the larynx and windpipe, acute laryngitis and tracheitis ( Memento from November 18, 2009 in the Internet Archive )