Croup and COVID-19 in a child: A case report and literature review

Lim, Chee Chean and Saniasiaya, Jeyasakthy and Kulasegarah, Jeyanthi (2021) Croup and COVID-19 in a child: A case report and literature review. BMJ Case Reports, 14 (9). ISSN 1757-790X, DOI https://doi.org/10.1136/bcr-2021-244769.

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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.

Item Type: Article
Funders: None
Uncontrolled Keywords: COVID-19; Paediatrics; Respiratory medicine
Subjects: R Medicine > RC Internal medicine
Divisions: Faculty of Medicine
Depositing User: Ms Zaharah Ramly
Date Deposited: 20 May 2022 06:59
Last Modified: 20 May 2022 06:59
URI: http://eprints.um.edu.my/id/eprint/34811

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