Article Text

Download PDFPDF
Croup and COVID-19 in a child: a case report and literature review
  1. Chee Chean Lim,
  2. Jeyasakthy Saniasiaya and
  3. Jeyanthi Kulasegarah
  1. Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, Kuala Lumpur, WP Kuala Lumpur, Malaysia
  1. Correspondence to Dr Jeyasakthy Saniasiaya; shakthy_18{at}yahoo.com

Abstract

Croup (laryngotracheitis) is frequently encountered in the emergency department in a young child presenting with stridor. We describe a rare case of croup secondary to SARS-CoV-2 in an 18-month-old child who presented with stridor and respiratory distress and required urgent intubation. Subsequently, the child developed multisystem inflammatory syndrome in children (MIS-C). The child was monitored in paediatric intensive care unit. We would like to highlight that COVID-19 croup in children may be an indicator for MIS-C, and close monitoring is warranted as MIS-C is a life-threatening condition. Our limited experience suggests that COVID-19 croup especially if associated with MIS-C has an underlying more severe pathology and may require prolonged treatment in comparison with the typical croup or even COVID-19 croup. It is important to recognise this clinical entity during a time when most countries are in a third wave of COVID-19 pandemic.

  • COVID-19
  • paediatrics
  • respiratory medicine

This article is made freely available for use in accordance with BMJ’s website terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ. You may use, download and print the article for any lawful, non-commercial purpose (including text and data mining) provided that all copyright notices and trade marks are retained.

https://bmj.com/coronavirus/usage

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Footnotes

  • Twitter @Otology

  • Contributors CCL was involved in drafting, writing, literature review and final approval; JS was involved in editing, literature review and final approval; JK was involved in editing, literature review and final approval.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.