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Acute laryngotracheitis caused by COVID-19: A case report and literature review.
Alhedaithy, Alhanouf A; Murad, Islam Salah; Aldabal, Nada.
  • Alhedaithy AA; King Fahad Medical Military Complex, Dhahran, Saudi Arabia. Electronic address: hanoufhed@gmail.com.
  • Murad IS; King Fahad Medical Military Complex, Dhahran, Saudi Arabia. Electronic address: islam.salah847@gmail.com.
  • Aldabal N; King Fahad Medical Military Complex, Dhahran, Saudi Arabia. Electronic address: nada.aldabal@gmail.com.
Int J Surg Case Rep ; 94: 107074, 2022 May.
Article in English | MEDLINE | ID: covidwho-1783430
ABSTRACT

Introduction:

Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Laryngotracheitis (croup) is a rare manifestation of COVID-19 in adults. Presentation of case A 52-year-old female presented to the emergency department (ED) with shortness of breath and inspiratory stridor. Clinical findings and investigations Physical examination of the head and neck revealed a congested posterior pharyngeal wall. Laryngeal endoscopy with a 70-degree rigid endoscope demonstrated an edematous, bilaterally moving vocal cords. Chest radiographs showed tapering of the upper trachea (the "steeple" sign), which is observed in parainfluenza-associated croup infections. Interventions and

outcome:

The patient was admitted to the intensive care unit (ICU) for close observation for possible airway compromise and the need for intubation. Upon which, she tested positive for COVID-19 by polymerase chain reaction testing of nasopharyngeal samples. A regimen of ceftriaxone, nebulized racemic epinephrine, and dexamethasone was initiated.

Conclusion:

During the current COVID-19 pandemic, early diagnostic testing for SARS-Cov-2 are strongly recommended even when symptoms are not typical of COVID-19.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Diagnostic study / Observational study / Prognostic study / Reviews Language: English Journal: Int J Surg Case Rep Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Case report / Diagnostic study / Observational study / Prognostic study / Reviews Language: English Journal: Int J Surg Case Rep Year: 2022 Document Type: Article