Гы. Матчасть учили. Читаем здесь - специально скопировала, ибо доступа к этому ресурсу у вас нет:"Infections — Respiratory distress as the result of an infectious process usually develops gradually but can be acute in onset if structures of the upper airway are directly involved. Patients are often febrile. (See "Emergency evaluation of acute upper airway obstruction in children".)Common infectious causes of respiratory distress include:●Uvulitis – Children and adolescents with uvulitis may present with fever, sore throat, difficulty swallowing, pain with swallowing, drooling, and/or respiratory distress. The clinical features vary depending upon the etiology. Respiratory distress is uncommon in infectious uvulitis unless there is associated epiglottitis. Uvulitis is a clinical diagnosis. The uvula is red and swollen and may be covered with purulent exudates (picture 1). (See "Uvulitis: Clinical features and treatment", section on 'Clinical features'.)●Peritonsillar abscesses – Peritonsillar abscess classically causes local pain, sore throat, trismus, difficulty swallowing, and muffled ("hot potato" ) voice. Patients with peritonsillar abscess exhibit tonsillar and peritonsillar swelling and erythema with deviation of the uvula to the unaffected side. It is rare that the swelling is so severe that it obstructs the oral airway enough to cause difficulty breathing. Peritonsillar abscess is most commonly caused by Group A streptococcus but can be caused by other bacteria and sometimes develops secondary to Epstein-Barr virus (ie, mononucleosis). Peritonsillar abscess is more common in older children and adolescents. The onset of symptoms is typically gradual. (See "Peritonsillar cellulitis and abscess", section on 'Evaluation'.)●Retropharyngeal abscesses Children with retropharyngeal abscesses may develop stridor and typical signs of respiratory distress if the abscess impinges on the trachea. Retropharyngeal abscess is more likely to develop in infants and toddlers (image 1 and image 2). Additional findings include drooling, dysphagia, torticollis, meningismus, and change in voice. (See "Retropharyngeal infections in children", section on 'Presentation'.)●Croup – Croup (laryngotracheobronchitis) is the most common infectious cause of upper airway obstruction in children between 6 and 36 months of age but can occur from early infancy through school age (image 3 and image 4). The etiology may be viral (most commonly due to infection with parainfluenza virus) or allergic (spasmodic croup). Most patients with spasmodic croup are older than those with infectious croup. (See "Croup: Clinical features, evaluation, and diagnosis", section on 'Epidemiology' and "Croup: Clinical features, evaluation, and diagnosis", section on 'Etiology'.)The onset of symptoms with croup due to infection is usually gradual, beginning with nasal congestion, and coryza. Symptoms generally progress over 12 to 48 hours to include fever, usually <39°C although may be higher especially if due to influenza, hoarseness, barking cough, and stridor. Onset of spasmodic croup is abrupt and symptoms are limited to barky cough. Barky cough, for infectious or spasmodic croup, most commonly begins during the night or with napping. Respiratory distress increases as upper airway obstruction becomes more severe. Rapid progression or signs of lower airway involvement suggests a more serious illness. Symptoms typically persist for three to seven days with resolution of barky cough by day four in most children, with influenza causing more protracted illness than other viruses. Deviations from this expected course should prompt consideration of diagnoses other than laryngotracheitis. Some children with severe or recurrent croup may have underlying airway abnormalities (eg, subglottic hemangioma). (See "Croup: Clinical features, evaluation, and diagnosis", section on 'Clinical presentation'.)●Tracheitis – Tracheitis, is an invasive infection of the soft tissues of the trachea. Classically, it is caused by bacteria, most commonly Streptococcus or Staphylococcus aureus including MRSA (picture 2) as a secondary infection in a child with croup (image 5) but may occur as a primary infection. Increasingly, cases due to viral infection or cases no pathogen identified have been reported. In patients with respiratory failure due to upper airway infection, tracheitis is more common than epiglottitis or croup. The predominant clinical features of tracheitis are those of airway obstruction: stridor, cough, and respiratory distress accompanied by fever, highest in patients with bacterial or influenza as the etiology. Children younger than two to three years of age may be at increased risk for severe disease because of their relatively narrow airway diameter. In children with signs of total or near-total airway obstruction, airway control precedes diagnostic evaluation. (See "Bacterial tracheitis in children: Clinical features and diagnosis", section on 'Clinical features'.)●Bronchiolitis – Bronchiolitis (caused most commonly by respiratory syncytial virus and not uncommonly by influenza) typically affects children younger than two years of age. It is characterized by several days of upper airway symptoms, most classically nasal congestion and copious nasal secretions, followed by onset of lower airway symptoms that include wheezing, rales, rhonchi, and cough. Neonates and very young infants may have apnea, and it may be the presenting manifestation. Peak severity of illness is usually between days 4 and 6 with resolution of symptoms between days 10 and 14. A detailed review of bronchiolitis can be found separately. (See "Bronchiolitis in infants and children: Clinical features and diagnosis".)●Pneumonia – Pneumonia is a common cause of lower airway disease in infants and children. The disease process is more likely to be localized in the setting of bacterial pneumonia, whereas patients with viral and atypical pneumonias, such as Mycoplasma or Chlamydia, tend to have diffuse peribronchial, interstitial processes. (See "Community-acquired pneumonia in children: Clinical features and diagnosis", section on 'Clinical evaluation'.)"Если под обструктивным бронхитом вы имеете ввиду круп или reactive airway disease, то вполне возможна поездка по скорой. Если нет, то делаю вывод, что у медицине вы не имеете отношения, поэтому спорить смысла нет.