PT  - JOURNAL ARTICLE
AU  - Lim, Chee Chean
AU  - Saniasiaya, Jeyasakthy
AU  - Kulasegarah, Jeyanthi
TI  - Croup and COVID-19 in a child: a case report and literature review
AID  - 10.1136/bcr-2021-244769
DP  - 2021 Sep 01
TA  - BMJ Case Reports
PG  - e244769
VI  - 14
IP  - 9
4099  - http://casereports.bmj.com/content/14/9/e244769.short
4100  - http://casereports.bmj.com/content/14/9/e244769.full
SO  - BMJ Case Reports2021 Sep 01; 14
AB  - 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.