Presentation
Barking cough, with stridor, fever and irritability.
Patient Data
Age: 3 years
Gender: Female
From the case:
Croup
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There is hypopharyngeal distension, with subglottic tracheal narrowing.
There is adenoidal hypertrophy, accentuated due to the rotated position at the time of exposure.
From the case:
Croup
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There is a smooth narrowing of the subglottic airway (steeple sign).
There is right-sided tracheal bowing in keeping with expiration at the time of exposure.
Case Discussion
An example of croup / acute laryngotracheobronchitis (LTB) during a recent bout of a community outbreak of respiratory syncytial virus (RSV).
It is always important to exclude aspirated foreign bodies in patients presenting with stridor.
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