ArticleThe American journal of emergency medicine2021
Pediatric croup with COVID-19.
Article in The American journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.
- Heliox for croup in children.The Cochrane database of systematic reviews · 2021Pooled it
- Article
- Article
- Clinical spectrum of disease and outcomes in children with Omicron SARS-COV-2 infection in Cape Town, South Africa.IJTLD open · 2024Article
- COVID-19 Associated Croup.Current pediatric reviews · 2024Article
- Outcomes of croup in children: COVID-19 versus non-COVID-19 cases.Journal of the American College of Emergency Physicians open · 2023Article
- Article
- Clinical Epidemiology of Pediatric Coronavirus Disease 2019 and its Postacute Sequelae.Seminars in respiratory and critical care medicine · 2023Review
- Case Report: A 29-Year-Old Pregnant Woman at 24 Weeks of Gestation Presenting with Laryngotracheitis and COVID-19 Due to the R.1 Variant of SARS-CoV-2.The American journal of case reports · 2022Article
- Ear, nose, and throat manifestations of COVID-19 and its vaccines.World journal of clinical cases · 2022Review
- Croup and COVID-19.Journal of paediatrics and child health · 2022Article
- Croup Associated With SARS-CoV-2: Pediatric Laryngotracheitis During the Omicron Surge.Journal of the Pediatric Infectious Diseases Society · 2022Article
- [Main changes in the «COVID-19 in paediatrics» clinical practice guideline].Anales de pediatria (Barcelona, Spain : 2003) · 2022Article
- Croup during the Coronavirus Disease 2019 Omicron Variant Surge.The Journal of pediatrics · 2022Article
- Main changes in the "COVID-19 in paediatrics" clinical practice guideline.Anales de pediatria · 2022Article
- Epidemiological and clinical characteristics of infections with seasonal human coronavirus and respiratory syncytial virus in hospitalized children immediately before the coronavirus disease 2019 pandemic.Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy · 2022Article
- SARS-CoV-2 and croup, not a rare coincidence.The American journal of emergency medicine · 2022Article
- Two Case Reports of Life-Threatening Croup Caused by the SARS-CoV-2 Omicron BA.2 Variant in Pediatric Patients.Journal of Korean medical science · 2022Article
- Croup as a Manifestation of SARS-CoV-2 Omicron Variant Infection in Young Children.Journal of Korean medical science · 2022Article
- Acute laryngotracheitis caused by COVID-19: A case report and literature review.International journal of surgery case reports · 2022Article
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We describe three previously healthy children, admitted from our emergency department (ED) to our free-standing children's hospital, as the first documented cases of croup as a manifestation of SARS-CoV-2 infection. All three cases (ages 11 months, 2 years, and 9 years old) presented with non-specific upper-respiratory-tract symptoms that developed into a barky cough with associated stridor at rest and respiratory distress. All were diagnosed with SARS-CoV-2 by polymerase chain reaction testing from nasopharyngeal samples that were negative for all other pathogens including the most common etiologies for croup. Each received multiple (≥3) doses of nebulized racemic epinephrine with minimal to no improvement shortly after medication. All had a prolonged period of time from ED presentation until the resolution of their stridor at rest (13, 19, and 21 h). All received dexamethasone early in their ED treatment and all were admitted. All three received at least one additional dose of dexamethasone, an atypical treatment occurrence in our hospital, due to each patient's prolonged duration of symptoms. One child required heliox therapy and admission to intensive care. All patients were eventually discharged. Pathogen testing is usually not indicated in croup, but with "COVID-19 croup," SARS-CoV-2 testing should be considered given the prognostic significance and prolonged quarantine implications. Our limited experience with this newly described COVID-19 croup condition suggests that cases can present with significant pathology and might not improve as rapidly as those with typical croup.
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