Abstract
Objective:
To describe the first case of a group A beta-hemolytic streptococcus laryngotracheobronchitis as well as the other possible etiologies in a case of acute dyspnea.
Methods:
We report the case of a 46-year-old woman with a doubtful vaccination status who presented clinical features of croup (laryngotracheobronchitis). She developed respiratory distress and required endotracheal intubation.
Results:
The endoscopy demonstrated a great deal of crust and pseudomembrane detachment. Bacterial culture grew group A beta-hemolytic streptococcus. Progression was good with antibiotics and corticosteroid treatment.
Conclusion:
Bacterial acute pseudomembranous croup (laryngotracheobronchitis) is rare. We must search for the most frequent diagnoses such as diphtheria and epiglottitis. This is the first case to be reported in the literature.
Publication types
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Case Reports
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English Abstract
MeSH terms
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Acute Disease
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Amoxicillin / administration & dosage
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Amoxicillin / therapeutic use
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Anti-Bacterial Agents / administration & dosage
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Anti-Bacterial Agents / therapeutic use
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Anti-Infective Agents / administration & dosage
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Anti-Infective Agents / therapeutic use
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Anti-Inflammatory Agents / administration & dosage
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Anti-Inflammatory Agents / therapeutic use
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Bronchitis* / diagnosis
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Bronchitis* / drug therapy
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Ceftriaxone / administration & dosage
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Ceftriaxone / therapeutic use
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Ciprofloxacin / administration & dosage
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Ciprofloxacin / therapeutic use
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Croup* / diagnosis
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Croup* / drug therapy
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Drug Therapy, Combination
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Female
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Follow-Up Studies
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Humans
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Laryngitis* / diagnosis
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Laryngitis* / drug therapy
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Laryngoscopy
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Methylprednisolone / administration & dosage
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Methylprednisolone / therapeutic use
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Middle Aged
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Streptococcal Infections* / drug therapy
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Streptococcus pyogenes / isolation & purification*
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Time Factors
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Tracheitis* / diagnosis
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Tracheitis* / drug therapy
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Treatment Outcome
Substances
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Anti-Bacterial Agents
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Anti-Infective Agents
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Anti-Inflammatory Agents
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Ciprofloxacin
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Ceftriaxone
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Amoxicillin
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Methylprednisolone