Acute bronchitis is usually caused by a virus, such as a cold or the flu. In rare cases, it may be caused by bacteria. Certain factors make it more likely for a cold or flu to turn into bronchitis. These include being very young, being elderly, having a heart or lung problem, or having a weak immune system. Smoking also makes bronchitis more likely.
When bronchitis develops, the airways become swollen. The airways may also become infected with bacteria. This is known as a secondary infection.