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An unusual presentation of stridor in an infant
  1. Arindam Das1,
  2. Jessica Bewick2,
  3. John Chapman1,
  4. Nuwan Siriwarnasinghe1,
  5. Oluseun Tayo1,
  6. Maria Giakoumi1
  1. 1Department of Paediatrics, James Paget University Hospital, Gorleston, Great Yarmouth, UK
  2. 2Department of ENT, James Paget University Hospital, Gorleston, Great Yarmouth, UK
  1. Correspondence to Dr Arindam Das, Department of Paediatrics, James Paget University Hospital, Gorleston, Great Yarmouth NR31 6LA, UK; drdasa{at}gmail.com

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A 9-month-old boy presented with a 1-day history of fever and croupy cough. He had been diagnosed with laryngomalacia at 4 months of age and treated for recurrent croup and bronchiolitis. He was <0.4th centile for weight.

He had marked biphasic stridor in all positions along with tachypnoea. He showed some initial improvement with bronchodilators, steroids and antibiotics for suspected pneumonia, but his …

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