Acute laryngotracheitis caused by COVID-19: A case report and literature review.
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 andoutcome:
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.
COVID-19, coronavirus disease 2019; Case report; Coronavirus disease 2019; ED, emergency department; HPIV, human parainfluenza virus; ICU, intensive care unit; Laryngotracheitis; Otorhinolaryngology; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2; Severe acute respiratory syndrome coronavirus 2
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
Similar
MEDLINE
...
LILACS
LIS