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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Published inCase Reports in Critical Care Vol. 2017; no. 2017; pp. 1 - 3
Main Authors Patel, Jayshil J., Pfeifer, Kurt, Kitchin, Emily
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 01.01.2017
Hindawi
John Wiley & Sons, Inc
Hindawi Limited
Subjects
Adults
Care and treatment
Case Report
Case studies
Croup
Diagnosis
Dyspnea
Family medical history
Helium
Hospitals
Influenza
Literature reviews
Medicine
Pediatrics
Respiratory syncytial virus
Respiratory therapy
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Summary: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.
Bibliography:Academic Editor: Kenneth S. Waxman
ISSN:2090-6420
2090-6439
DOI:10.1155/2017/9870762