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BMJ Case Rep. 2011 Jul 20;2011. pii: bcr0320114014. doi: 10.1136/bcr.03.2011.4014.

Never trust a croup...

Author information

1
Norwich Medical School, University of East Anglia, Norwich, UK.

Abstract

A 2-year-old girl presented to the James Paget University Hospitals Trust with croup-like symptoms and was later discharged with dexamethasone syrup. The patient re-presented 6 h later following maternal concern with signs of acute respiratory distress. After a period of clinical stability, she acutely decompensated without any prior signs of a life-threatening deterioration. She was managed using nebulised epinephrine and showed signs of clinical improvement. Although improvement persisted, the child showed signs of exhaustion following the preceding events and was later intubed with an endotracheal tube and transferred to the paediatric intensive care unit at Addenbrooke's University Hospital, Cambridge. Endotracheal aspiration later grew parainfluenza virus, rhinovirus and Staphylococcus aureus and the patient was diagnosed with the exceptionally rare life threatening complications of croup, bacterial tracheitis. The patient was discharged from intensive care 7 days later and has since made a full recovery.

PMID:
22689599
PMCID:
PMC3143332
DOI:
10.1136/bcr.03.2011.4014
[Indexed for MEDLINE]
Free PMC Article

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