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Croup, also known as laryngotracheobronchitis, is a common childhood respiratory condition characterized by inflammation and narrowing of the upper airway, particularly the larynx (voice box) and trachea (windpipe). It primarily affects infants and young children, typically between the ages of 6 months and 3 years. Croup is often caused by viral infections, with the most common culprits being the parainfluenza virus, but other viruses like influenza, adenovirus, and respiratory syncytial virus (RSV) can also lead to croup. The main symptoms of croup include: Barking cough: Children with croup often develop a distinctive barking or seal-like cough, which is a result of the narrowed airways. Stridor: This is a high-pitched, harsh, or musical sound that occurs during inhalation and is associated with the obstruction in the larynx and trachea. Hoarseness: The child's voice may become hoarse or raspy due to the inflammation of the vocal cords. Respiratory distress: In severe cases, croup can lead to breathing difficulties, which may be characterized by increased effort in breathing, retractions (the skin between the ribs and around the neck may pull in during inhalation), and a faster respiratory rate. Croup symptoms are typically worse at night and can be frightening for both the child and the parent. Treatment for croup usually focuses on relieving symptoms and providing comfort to the child. Most cases of croup are mild and improve within a few days. However, if the symptoms become severe, if the child has significant difficulty breathing, or if there is a risk of airway obstruction, it's crucial to seek immediate medical attention, as hospitalization and more intensive treatments may be necessary.