Abstract
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.
【저자키워드】 severe acute respiratory syndrome coronavirus 2, Coronavirus disease 2019, intensive care unit, emergency department, COVID-19coronavirus disease 2019, SARS-CoV-2severe acute respiratory syndrome coronavirus 2, ICUIntensive Care Unit, HPIVhuman parainfluenza virus, human parainfluenza virus, EDemergency department, 【초록키워드】 COVID-19, Dexamethasone, SARS-CoV-2, coronavirus, intensive care, COVID-19 pandemic, diagnostic, intubation, Symptom, Infectious disease, outcome, ICU, airway, Adults, infections, female, Patient, Chest radiograph, regimen, Shortness of breath, observation, Clinical finding, acute respiratory syndrome, Nasopharyngeal samples, nebulized, pharyngeal, positive, presentation, edematous, polymerase chain, laryngotracheitis, tested, caused, demonstrated, initiated, 【제목키워드】 Case report, literature review, caused,