When Acute Stridor Is More Than Croup

A 9-month-old girl with a history of prematurity at 25 weeks of gestation and neonatal intensive care unit stay with multiple prior intubations presented for hospital readmission due to stridor. During initial hospitalization she required noninvasive continuous positive airway pressure, helium-oxygen mixture, and racemic epinephrine for severity of symptoms. Neck radiograph was positive for “steeple sign” and the otolaryngology team (ENT) agreed with an initial diagnosis of croup. Two days after discharge, she developed recurrence of stridor, significant retractions, and tachypnea with normal oxygen saturations.
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Insights and Images Source Type: research