Tracheobronchitis is an inflammation of the trachea and bronchi — the main airways that carry air to the lungs. It can be acute or chronic, and is often caused by:
Viral infections (most common, e.g., influenza, RSV, adenovirus)
Bacterial infections (e.g., Mycoplasma pneumoniae, Bordetella pertussis)
Irritants (e.g., smoke, chemicals, pollution)
Allergies or post-viral inflammation
Symptoms Persistent cough (may be dry or productive)
Chest discomfort
Wheezing or shortness of breath
Fever (more common in bacterial forms)
Hoarseness or sore throat if the upper airway is involved
Diagnosis Clinical evaluation
Sometimes chest X-ray to rule out pneumonia
Sputum culture or PCR in suspected bacterial or atypical causes
Treatment Supportive care: hydration, rest, analgesics
Bronchodilators if there's wheezing
Antibiotics: only if a bacterial cause is suspected
Corticosteroids: sometimes used in chronic or post-infectious inflammation
Prognosis Most cases resolve in 1–3 weeks without complications
Chronic tracheobronchitis (e.g., in smokers or patients with COPD) may require long-term management
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