Abstract
Background
Croup is one of the most common causes of acute respiratory disorder in children.
It presents as acute laryngeal symptoms in the context of viral infection. Treatment
consists of systemic steroids and aerosolized adrenaline, after which the symptoms
must resolve rapidly. There are many differential diagnoses, including neurological
causes. In these cases, clinical presentation is atypical and the outcome can be less
favorable.
Case Report
We present the cases of three children who presented with stridor, which was initially
treated as croup but eventually turned out to have a neurological origin.
Why Should an Emergency Physician Be Aware of This?
Clinicians need to be aware of the differential diagnoses of croup. We suggest a few
key points to help emergency physicians manage these patients, including adequate
use of monitoring and nasofibroscopy. Early identification is a key element in the
effective management of certain rapidly progressive neurological diseases.
Keywords
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Article info
Publication history
Published online: September 10, 2022
Accepted:
September 4,
2022
Received in revised form:
June 17,
2022
Received:
April 6,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
