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Arch Otolaryngol Head Neck Surg. 2000;126:1153-1158.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 2-YEAR-OLD white girl presented to the emergency department with a several-day history of low-grade fevers, nasal congestion, and mild dysphagia, with the more recent development of loss of appetite, lethargy, and "loud breathing." Her medical history was significant for liver transplantation at 6 months of age for biliary atresia. All her immunizations were up to date. Her medications included tacrolimus (FK 506), and she had recently undergone a checkup with the Transplant Service, without problems.

On physical examination, she had a temperature of 37.5°C. Her oxygen saturation on 40% blow-by mask was 100%. She appeared somewhat uncomfortable sitting in her father's lap, and she had a mildly elevated respiratory rate. She had no obvious stridor and her lungs were clear to auscultation, but her voice was noted to be somewhat muffled. A lateral x-ray film of her neck revealed significant thickening of the epiglottis (Figure 1, arrow). . . . [Full Text of this Article]