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Sean Donovan

, and Heidi Cordi

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date: 24 September 2021

This case illustrates acute respiratory distress in pediatric patient populations. More specifically, it highlights signs of upper airway obstruction, including stridor. This type of presentation most frequently occurs with croup, also known as laryngotracheobronchitis, but can also occur in other pathologic conditions, which are briefly discussed. Croup is a viral infection that causes upper respiratory tract symptoms, including a harsh “seal-like” barking cough, secondary to mucosal edema in the upper airway. Significant swelling can cause respiratory distress with development of stridor, prompting treatment with nebulized epinephrine. In addition, steroid medication is often administered for longer term symptom control. Most children recover well in a relatively short time period.

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