TY - JOUR T1 - Croup and COVID-19 in a child: a case report and literature review JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2021-244769 VL - 14 IS - 9 SP - e244769 AU - Chee Chean Lim AU - Jeyasakthy Saniasiaya AU - Jeyanthi Kulasegarah Y1 - 2021/09/01 UR - http://casereports.bmj.com/content/14/9/e244769.abstract N2 - 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. ER -