International journal of surgery case reports · 2022
Acute laryngotracheitis caused by COVID-19: A case report and literature review.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Alhedaithy Alhanouf A, Murad Islam Salah, Aldabal Nada
Аннотация
INTRODUCTION: Coronavirus disease 2019 (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Laryngotracheitis (croup) is a rare manifestation of COVID-19 in adults.
PRESENTATION OF CASE: A 52-year-old female presented to the emergency department (ED) with shortness of breath and inspiratory stridor.
CLINICAL FINDINGS AND INVESTIGATIONS: Physical examination of the head and neck revealed a congested posterior pharyngeal wall. Laryngeal endoscopy with a 70-degree rigid endoscope demonstrated an edematous, bilaterally moving vocal cords. Chest radiographs showed tapering of the upper trachea (the "steeple" sign), which is observed in parainfluenza-associated croup infections.
INTERVENTIONS AND OUTCOME: The patient was admitted to the intensive care unit (ICU) for close observation for possible airway compromise and the need for intubation. Upon which, she tested positive for COVID-19 by polymerase chain reaction testing of nasopharyngeal samples. A regimen of ceftriaxone, nebulized racemic epinephrine, and dexamethasone was initiated.
CONCLUSION: During the current COVID-19 pandemic, early diagnostic testing for SARS-Cov-2 are strongly recommended even when symptoms are not typical of COVID-19.
PRESENTATION OF CASE: A 52-year-old female presented to the emergency department (ED) with shortness of breath and inspiratory stridor.
CLINICAL FINDINGS AND INVESTIGATIONS: Physical examination of the head and neck revealed a congested posterior pharyngeal wall. Laryngeal endoscopy with a 70-degree rigid endoscope demonstrated an edematous, bilaterally moving vocal cords. Chest radiographs showed tapering of the upper trachea (the "steeple" sign), which is observed in parainfluenza-associated croup infections.
INTERVENTIONS AND OUTCOME: The patient was admitted to the intensive care unit (ICU) for close observation for possible airway compromise and the need for intubation. Upon which, she tested positive for COVID-19 by polymerase chain reaction testing of nasopharyngeal samples. A regimen of ceftriaxone, nebulized racemic epinephrine, and dexamethasone was initiated.
CONCLUSION: During the current COVID-19 pandemic, early diagnostic testing for SARS-Cov-2 are strongly recommended even when symptoms are not typical of COVID-19.