Consider COVID-19 when a child presents with severe croup in summer

Document Type : Case Report


1 Shahid beheshti university of medical sciences

2 Bone, joint and related tissues research center, Tehran, Iran

3 Department of Pediatrics Emergency, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

4 Pediatric Infections Research Center, Mofid Children’s Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

5 Department of Pediatrics Pulmonary Diseases, Mofid Children’s Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran


Introduction: Coronavirus disease-2019 (COVID-19) has rapidly disseminated worldwide. In children, the most prevalent manifestations of COVID-19 are fever, cough, and fatigue.
Case presentation: Here, we describe a case of croup secondary to COVID-19 with a preexisting laryngomalacia who presented with fever, dyspnea, and severe cough. The patient had respiratory stridor and diffuse wheezing on lung auscultation.
Conclusions: Although a certain association between COVID-19 and croup has yet to be proven; but as it showed, SARS-CoV-2, like other viruses, can be a leading cause of croup. Therefore, we suggest in children with croup and upper airway symptoms, SARS-CoV-2 infection be ruled out.


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