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ENT · Airway: bacterial tracheitis
Sample itemA child with croup-like illness fails to improve and develops high fever, toxic appearance and thick purulent tracheal secretions. Which organism is the commonest cause?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Staphylococcus aureus
Bacterial tracheitis is a secondary bacterial infection of the trachea, most often with Staphylococcus aureus, producing thick membranes that need bronchoscopic clearance, intubation and IV antibiotics.
Option by option
A. Parainfluenza virus
Parainfluenza virus causes uncomplicated croup.
B. Staphylococcus aureus (correct)
Correct. S. aureus is the commonest cause.
C. Corynebacterium diphtheriae
Diphtheria causes a membranous pharyngitis.
D. Haemophilus influenzae type b
Hib causes epiglottitis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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