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.