tetano
Editor, Senior Moderator
BMJ Case Rep. 2018 Jun 4;2018. pii: bcr-2017-223974. doi: 10.1136/bcr-2017-223974.
[h=1]Uncommon presentation of a common disease: influenza A presenting as adult croup .[/h] Shaikh N[SUP]1[/SUP], Dy P[SUP]1[/SUP], Basnet A[SUP]1[/SUP], Shah S[SUP]1[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] An 88-year-old woman presented to our emergency room with complaints of fever, coryza, barking cough and generalised fatigue for 2 days. Physical examination showed stridor, tachypnoea with use of accessory muscles of respiration on admission. Laboratory tests were unremarkable except for monocytosis with a normal total white cell count. Rapid influenza diagnostic test was positive for influenza A. Chest X-ray showed subglottic narrowing of the trachea suggestive of steeple sign. A diagnosis of influenza A-induced croup was made. She was given humidified oxygen, nebulised racemic epinephrine, intravenous dexamethasone and oseltamivir. Stridor resolved within minutes of giving nebulised epinephrine. Work of breathing improved within 4-6 hours. She was discharged 2 days later on a tapering dose of steroids.
[h=4]KEYWORDS:[/h] influenza; radiology
PMID: 29866674 DOI: 10.1136/bcr-2017-223974
[h=1]Uncommon presentation of a common disease: influenza A presenting as adult croup .[/h] Shaikh N[SUP]1[/SUP], Dy P[SUP]1[/SUP], Basnet A[SUP]1[/SUP], Shah S[SUP]1[/SUP].
[h=3]Author information[/h]
[h=3]Abstract[/h] An 88-year-old woman presented to our emergency room with complaints of fever, coryza, barking cough and generalised fatigue for 2 days. Physical examination showed stridor, tachypnoea with use of accessory muscles of respiration on admission. Laboratory tests were unremarkable except for monocytosis with a normal total white cell count. Rapid influenza diagnostic test was positive for influenza A. Chest X-ray showed subglottic narrowing of the trachea suggestive of steeple sign. A diagnosis of influenza A-induced croup was made. She was given humidified oxygen, nebulised racemic epinephrine, intravenous dexamethasone and oseltamivir. Stridor resolved within minutes of giving nebulised epinephrine. Work of breathing improved within 4-6 hours. She was discharged 2 days later on a tapering dose of steroids.
[h=4]KEYWORDS:[/h] influenza; radiology
PMID: 29866674 DOI: 10.1136/bcr-2017-223974