Cases reported "Croup"

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1/5. adult croup: a rare but more severe condition.

    We report the first adult patient with virologically confirmed croup caused by parainfluenza virus type 3 and review 10 cases of adult croup described in the English-language literature. Circumstantial evidence of viral infection was present in only 1 other case, in which there was a rise in antibody titer against influenza b virus. Ten patients (91%) required intensive care support. None of the 11 patients died. A comparison was also made between the 11 adults with croup and 43 children hospitalized with severe croup described in a representative paper published in 1984. adult croup represents an apparently more severe disease entity than pediatric croup.
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2/5. delayed diagnosis of laryngeal foreign body.

    Aspiration of a foreign body is a recognized cause of accidental death in children. Paediatricians are aware of the symptoms of inhaled foreign bodies in the lower respiratory tract. However, symptoms which suggest impaction in the larynx do not appear to raise the same index of suspicion of a foreign body. One case of laryngeal foreign body is described with a delay in diagnosis of five days. The clinical presentation, investigations and management are discussed.
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3/5. Artificial nail aspiration masquerading as refractory croup.

    Infants with an aspirated foreign body who present with acute onset of obstructed airflow should be readily diagnosed. When aspirated foreign body is overlooked, patients may present with recurrent inspiratory, biphasic, or expiratory stridor. We report an infant who repeatedly presented with varying degrees of inspiratory stridor. The diagnosis of aspirated foreign body was hampered by the presence of respiratory syncytial virus infection with the initial episode.
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4/5. Radiolucent intratracheal foreign body mistaken for croup in a 9-year-old boy.

    Stridor was present for at least three months in a 9-year-old boy whose cervical trachea contained granulation tissue in association with a chronically enlodged plastic wheel, 1.8 cm in diameter. Roentgenograms revealed irregularly lobulated narrowing of the cervical trachea. Our clinical impression was croup until bronchoscopic examination led to removal of the toy. We could elicit no history of aspiration. Chronic stridor in association with a radiolucent intratracheal foreign body is unusual in the absence of a history of aspiration.
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5/5. Foreign-body aspiration. Potential misdiagnosis.

    Clandestine aspiration of foreign bodies lodged high in tracheal airway can mimic subglottic croup. Although this relationship is emphasized in textbooks of otolaryngology, documentation in the recent literature is lacking. This report underscores our awareness of a potentially lethal diagnosis masquerading as a more benign viral infection of the laryngotracheal airway.
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