A Curious Case of Croup: Laryngotracheitis Caused by COVID-19

Abstract

This is a prepublication version of an article that has undergone peer review and been accepted for publication but is not the final version of record. This paper may be cited using the DOI and date of access. This paper may contain information that has errors in facts, figures, and statements, and will be corrected in the final published version. The journal is providing an early version of this article to expedite access to this information. The American Academy of Pediatrics, the editors, and authors are not responsible for inaccurate information and data described in this version.

Pediatric COVID-19 presenting as supraglottitis with vocal cord hypomobility

“…3 This is one of the first few reports of COVID-19 cases with this presentation and adds to the growing body of literature on upper airway manifestations of COVID-19. 4,5 The case A 15-year-old female presented to the emergency room in mid-April 2020, with a 2-day history of worsening cephalalgia, hoarseness and muffling of voice, difficulty swallowing and globus pharyngeus. She had nausea and generalized malaise with the above symptoms.…”

“… 3 This is one of the first few reports of COVID-19 cases with this presentation and adds to the growing body of literature on upper airway manifestations of COVID-19. 4 , 5 …”

Croup: A Rare Manifestation of Coronavirus Disease 2019

“…2 The diagnosis of croup is mostly clinical and determining the etiology is rarely helpful. 3,4 Usually, viral croup is a self-limiting illness that typically resolves within 3 to 7 days in most cases. 4 Our baby presented with classical clinical features of croup and neck X-ray showed steeple sign.…”

“…But, to the best of our knowledge, croup as a manifestation of COVID-19 has been reported only twice before in children. 3,4 We report a 3-month-old child with classic symptomatology and radiographic sign suggestive of croup due to SARS-CoV-2 infection.…”

COVID-19 croup: Solitary infections and a coinfection case – author reply to a letter

“…In our three reported cases of croup associated with SARS-CoV-2 infection over a two-month period, all three patients were positive for a single virus and had a negative viral panel (Biofire® FilmArray Respiratory Panel) (CR) for nineteen other viruses, including the ones most commonly associated with croup [ 1 ]. Two other case reports have also described solitary infection of SARS-CoV-2 associated with presentations of croup [ 2 , 3 ]; your description is the first case of croup that we are aware of that had a SARS-CoV-2 infection with a second virus. Other solitary and co-infection cases of croup will likely be reported in the literature as the pandemic progresses.…”