A Narrowing Diagnosis: A Rare Cause of Adult Croup and Literature Review
Croup or laryngotracheitis is rare in adults. We present a case of an otherwise healthy young woman that presented in the winter with 3 days of increasing dyspnea, cough, and fever. She was hemodynamically stable but was found to have a barking cough, paradoxical abdominal breathing, and stridor. Ch...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2017/9870762 |
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| author | Jayshil J. Patel Emily Kitchin Kurt Pfeifer |
| author_facet | Jayshil J. Patel Emily Kitchin Kurt Pfeifer |
| author_sort | Jayshil J. Patel |
| collection | DOAJ |
| description | Croup or laryngotracheitis is rare in adults. We present a case of an otherwise healthy young woman that presented in the winter with 3 days of increasing dyspnea, cough, and fever. She was hemodynamically stable but was found to have a barking cough, paradoxical abdominal breathing, and stridor. Chest radiograph revealed subglottic narrowing. Respiratory viral nucleic acid amplification testing was positive for respiratory syncytial virus. The patient was treated with nebulized epinephrine, dexamethasone, and a helium-oxygen mixture. Stridor resolved immediately after starting the helium-oxygen mixture. Within 72 hours, the patient made a complete clinical recovery without the need for escalation of care. Prehospital discharge chest radiograph demonstrated resolution of subglottic narrowing. |
| format | Article |
| id | doaj-art-f680b09cd5b14b5c8be74b737d34469b |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-f680b09cd5b14b5c8be74b737d34469b2025-02-03T06:11:48ZengWileyCase Reports in Critical Care2090-64202090-64392017-01-01201710.1155/2017/98707629870762A Narrowing Diagnosis: A Rare Cause of Adult Croup and Literature ReviewJayshil J. Patel0Emily Kitchin1Kurt Pfeifer2Department of Medicine, Division of Pulmonary & Critical Care, Medical College of Wisconsin, Milwaukee, WI, USADepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI, USADepartment of Medicine, Division of General Internal Medicine, Medical College of Wisconsin, Milwaukee, WI, USACroup or laryngotracheitis is rare in adults. We present a case of an otherwise healthy young woman that presented in the winter with 3 days of increasing dyspnea, cough, and fever. She was hemodynamically stable but was found to have a barking cough, paradoxical abdominal breathing, and stridor. Chest radiograph revealed subglottic narrowing. Respiratory viral nucleic acid amplification testing was positive for respiratory syncytial virus. The patient was treated with nebulized epinephrine, dexamethasone, and a helium-oxygen mixture. Stridor resolved immediately after starting the helium-oxygen mixture. Within 72 hours, the patient made a complete clinical recovery without the need for escalation of care. Prehospital discharge chest radiograph demonstrated resolution of subglottic narrowing.http://dx.doi.org/10.1155/2017/9870762 |
| spellingShingle | Jayshil J. Patel Emily Kitchin Kurt Pfeifer A Narrowing Diagnosis: A Rare Cause of Adult Croup and Literature Review Case Reports in Critical Care |
| title | A Narrowing Diagnosis: A Rare Cause of Adult Croup and Literature Review |
| title_full | A Narrowing Diagnosis: A Rare Cause of Adult Croup and Literature Review |
| title_fullStr | A Narrowing Diagnosis: A Rare Cause of Adult Croup and Literature Review |
| title_full_unstemmed | A Narrowing Diagnosis: A Rare Cause of Adult Croup and Literature Review |
| title_short | A Narrowing Diagnosis: A Rare Cause of Adult Croup and Literature Review |
| title_sort | narrowing diagnosis a rare cause of adult croup and literature review |
| url | http://dx.doi.org/10.1155/2017/9870762 |
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