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Images in paediatrics
Unusual cause of ‘croup’
  1. Emily Pye1,
  2. Charlotte Lucy Durand1,
  3. Anne Kerr1,
  4. Adam J Donne2
  1. 1 Paediatric Emergency Department, Alder Hey Children's NHS Foundation Trust, Liverpool, UK
  2. 2 Otorhinolaryngology, Alder Hey Children's Hospital, Liverpool, UK
  1. Correspondence to Dr Charlotte Lucy Durand, Paediatric Emergency Department, Alder Hey Children's NHS Foundation Trust, Liverpool L12 2AP, UK; charlotte.durand{at}

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A 20-month-old girl presented to a paediatric emergency department with a short history of cough, coryza, diarrhoea and vomiting.

She developed severe respiratory distress with biphasic stridor, tripod posturing and drowsiness. Oxygen saturations were 85%. Epinephrine nebulisers and oral dexamethasone were administered. She initially improved but had further sudden deterioration with persistent soft stridor and respiratory distress. She had noisy breathing since birth (but …

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  • Contributors EP drafted the article. CLD, AK and AJD reviewed and revised the article.

  • 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.