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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 …
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.