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Case Reports
Don't go barking up the wrong tree: Thinking beyond infection in a toddler with stridor.
- Nichole McCollum and Dewesh Agrawal.
- Division of Emergency Medicine, Children's National Hospital, 111 Michigan Avenue NW, Washington, DC 20010, United States of America; The George Washington School of Medicine and Health Sciences, 2300 I Street NW, Washington, DC 20052, United States of America. Electronic address: nmccollum@childrensnational.org.
- Am J Emerg Med. 2022 Dec 1; 62: 149.e1149.e4149.e1-149.e4.
AbstractA toddler presented to the emergency department with persistent stridor and barky cough for 4 weeks and progressive dysphagia for 1 week. During this time, he had sought medical attention 6 additional times and had been treated for pneumonia, wheezing and croup, receiving antibiotics and several courses of steroids without improvement. On the final presentation, airway imaging did not reveal a foreign body. However, bedside laryngoscopy demonstrated bilateral vocal cord paralysis. Further imaging revealed an intracranial posterior fossa mass which provided the unifying diagnosis for his persistent symptoms.Copyright © 2022 Elsevier Inc. All rights reserved.
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