Severe Croup Cough & Chest Retractions Resulting in Hospitalization In this study Johnson and colleagues evaluated outcomes in children with mild croup seen in hospital ERs, half of whom were treated with a single dose of dexamethasone and the other half with placebo. Improvement then deterioration Give further doses of adrenaline. This leads to fluid resorption from the interstitium and improvement in the laryngeal mucosal edema. The symptoms are often worse at night and reach their worst on the second or third night of the illness. The fact that an illness will usually resolve if left untreated in no way infers that it should be left untreated. She has the cough but is in great spirits with tons of energy.
The word croup comes from the Early Modern English verb croup , meaning "to cry hoarsely"; the name was first applied to the disease in Scotland and popularized in the 18th century.  Diphtheritic croup has been known since the time of Homer 's Ancient Greece and it was not until 1826 that viral croup was differentiated from croup due to diphtheria by Bretonneau .   Viral croup was then called "faux-croup" by the French and often called "false croup" in English,   as "croup" or "true croup" then most often referred to the disease caused by the diphtheria bacterium .   False croup has also been known as pseudo croup or spasmodic croup.  Croup due to diphtheria has become nearly unknown in affluent countries in modern times due to the advent of effective immunization .