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Imaging Quiz Case 1
Margarita Bartolomé, MD, PhD;
Javier Cervera, MD;
Gloria Mardones, MD;
Francisco Valdeón, MD;
Eugenio Molina, MD
Madrid, Spain
Arch Otolaryngol Head Neck Surg. 2001;127:453-456.
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A 25-MONTH-OLD girl who was transferred to our institution from an outside
hospital presented with a clinical history of repeated inspiratory stridor
episodes, without signs of respiratory compromise, that were preceded by upper
respiratory tract infections. Exposure to cold, humid air was helpful, and
the symptoms subsided spontaneously. Serial chest radiographs, cultures, and
routine blood tests showed a viral cause, an acute croup. Although the patient's
condition was better with medical care (treatment with amoxicillin-clavulanate,
systemic steroids, and humidified air), the pediatricians asked the ear, nose,
and throat service for further evaluation, because the case involved recurrent
croup. Flexible direct laryngoscopy, and rigid bronchoscopy were performed.
The patient's vocal folds were normal, and only mucus and some white, friable,
mucouslike membranes were found in the upper trachea. The diagnosis of subglottic
laryngitis was made, . . . [Full Text of this Article]
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