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A subglottic foreign body mimicking croup: A case report.

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Foreign body aspiration in infants can mimic croup. If an infant with suspected croup does not improve with treatment, further evaluation for a foreign body is crucial.

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Area of Science:

  • Pediatric Pulmonology
  • Emergency Medicine
  • Otolaryngology

Background:

  • Foreign body (FB) aspiration is a dangerous cause of respiratory distress in infants.
  • Diagnosis is challenging due to varied symptoms based on airway obstruction and FB location.

Observation:

  • An 11-month-old infant presented with sudden cough and inspiratory stridor, initially suspected as croup.
  • The infant showed no improvement after a 4-day course of croup treatment.

Findings:

  • Flexible laryngoscopy revealed a sharp foreign body lodged in the subglottic region.
  • Emergency surgery successfully removed the foreign body, with complete laryngeal healing within one week.

Implications:

  • Consider foreign body aspiration in infants presenting with croup-like symptoms.
  • Lack of response to croup treatment warrants further investigation for airway foreign bodies.