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Miscellanea
Images in paediatrics
Diphtheritic membrane: an alternative approach
  1. Sudeep Kumar,
  2. Bala Ramachandran,
  3. Kalaimaran Sadasivam
  1. Paediatric Intensive Care Unit, Kanchi Kamakoti Childs Trust Hospital, Chennai, Tamil Nadu, India
  1. Correspondence to Dr Kalaimaran Sadasivam, Paediatric Intensive care unit, Kanchi Kamakoti Childs Trust Hospital, Chennai, TN 600034, India; kalaimarans{at}gmail.com

https://doi.org/10.1136/archdischild-2019-317321

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    An 11-year-old boy was referred with impending airway compromise and suspected diphtheria. He had stridor, bull-neck and a visible membrane in the throat (figure 1). He was admitted to the Paediatric Intensive Care Unit (PICU) and was electively intubated in theatres with videolaryngoscopy and ear nose throat surgeon cover. Antidiphtheritic serum and intravenous antibiotics (ceftriaxone) were commenced. He was allowed to breathe spontaneously through the nasal endotracheal tube. He did …

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    Footnotes

    • Contributors SK wrote the first draft of the manuscript which was then revised by KS and BR.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.