A 9-Month-Old Boy With "3 Months of Croup" a Devil Inside. (May 2022)

• Record Type: Journal Article
• Authors: Sah, Amit; Civelli, Valerie F.; Donath, Christina; Mandviwala, Lulua; Heidari, Arash
• Is Part Of: Journal of investigative medicine high impact case reports. Volume 10(2022)
• Publication Date: 2022-05
• Subjects: laryngotracheobronchitis -- croup -- subglottic mass -- coccidioidomycosis -- persistent stridor -- disseminated coccidioidomycosis -- laryngeal coccidioidomycosis -- laryngeal mass -- pediatric croup; Internal medicine -- Periodicals; Medical care -- Periodicals; 616.005
• DOI: 10.1177/23247096211066392
• Languages: English
• ISSNs: 2324-7096

Abstract

Coccidioidomycosis (CM) is an endemic fungal disease that is prevalent in the Southwestern United States, Mexico, and Central and South America. The majority of cases are asymptomatic. Symptomatic cases primarily present with pneumonic disease, varying in severity from mild to severe. In a minority, extrapulmonary disease is known to occur. These disseminated cases typically manifest as meningitis, osteomyelitis, synovitis, and integumentary. Coccidioidomycosis has been identified in nearly every part of the body, including the soft tissues and cartilaginous tissues of the oropharynx. Disseminated CM to the larynx specifically in the pediatric populations is rarely documented. This is a case of persistent stridor misdiagnosed as viral croup in a 9-month-old male with protracted disease. Herein, diagnosis and treatment of laryngeal mass found to be CM are defined with a salutatory outcome.