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Images in paediatrics
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

https://doi.org/10.1136/archdischild-2014-307025

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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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    Footnotes

    • Contributors AD is the main author. Both JB and OT edited the article prior to submission. Images contributed by NS and MG. JC is the consultant clinician responsible for the care of this patient and provided the details of the clinical history.

    • Competing interests None.

    • Patient consent Obtained.

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