A Narrowing Diagnosis: A Rare Cause of Adult Croup and Literature Review

Patel, Jayshil J.; Kitchin, Emily; Pfeifer, Kurt

doi:10.1155/2017/9870762

Cited by 7 publications

(2 citation statements)

References 6 publications

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“…On the other hand, laryngotracheitis or croup shows sudden onset of barky cough, hoarse voice, inspiratory stridor and respiratory distress [ 4 ] and it is rare in adult [ 5 ]. Laryngotracheitis or croup is mainly caused by parainfluenza virus 1.…”

Section: Introductionmentioning

confidence: 99%

Case Report: A 29-Year-Old Pregnant Woman at 24 Weeks of Gestation Presenting with Laryngotracheitis and COVID-19 Due to the R.1 Variant of SARS-CoV-2

et al. 2022

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Patient: Female, 29-year-old Final Diagnosis: COVID 19 infection • laryngotracheitis Symptoms: Cough Medication: — Clinical Procedure: — Specialty: Infectious Diseases Objective: Unusual clinical course Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) was discovered in December 2019 in Wuhan, China. Coronavirus disease (COVID-19) mainly presents with lower respiratory tract symptoms. On the other hand, laryngotracheitis or croup shows barky cough and it is rare in adults. There were no reports of laryngotracheitis with COVID-19 in pregnant women. We report the case of a pregnant woman at 24 weeks of gestation presenting with acute laryngotracheitis and COVID-19 due to the R.1 variant of SARS-CoV-2. Case Report: A 29-year-old previously healthy woman at 24 weeks of gestation presented with hoarseness and sore throat without fever, of 1-day duration. Although she was treated by her primary care physician with nebulized epinephrine, her symptoms did not resolve. She came to our hospital the same day. On arrival at our department, she was tachypneic and had a 95% oxygen saturation. She had stridor and barking cough. Laryngeal endoscopy revealed edema under the vocal cords. She was hospitalized urgently. SARS-CoV-2 polymerase chain reaction (PCR) testing was positive and the E484K mutation was confirmed. She was treated with oral and inhaled corticosteroids. Two days after admission, her symptoms were improved. She was discharged 10 days after admission. Edema under the vocal cords was completely improved 24 days after discharge. There were no adverse effects on the pregnancy. Conclusions: COVID-19 laryngotracheitis has a more severe disease course than other causes, especially in pregnancy. COVID-19 laryngotracheitis should be use corticosteroids to treatment. Prednisolone is recommended for laryngotracheitis with COVID-19 during pregnancy.

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Section: Introductionmentioning

confidence: 99%

Case Report: A 29-Year-Old Pregnant Woman at 24 Weeks of Gestation Presenting with Laryngotracheitis and COVID-19 Due to the R.1 Variant of SARS-CoV-2

et al. 2022

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“…Adult croup is a rare, severe condition requiring more aggressive management and longer hospitalization than in children (1). Typical causative microorganisms are parainfluenza virus type 3, influenza virus, Haemophilus influenzae, Streptococcus, and respiratory syncytial virus (1). Significant subglottic edema is an obvious indication for intubation.…”

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confidence: 99%