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A 9-Month-Old Boy With “3 Months of Croup” a Devil Inside

Authors
  • Sah, Amit1
  • Civelli, Valerie F.2
  • Donath, Christina3
  • Mandviwala, Lulua4
  • Heidari, Arash2
  • 1 University of Miami, FL, USA
  • 2 UCLA Kern Medical, Bakersfield, CA, USA
  • 3 Florida State University, Tallahassee, USA
  • 4 Kern Medical, Bakersfield, CA, USA
Type
Published Article
Journal
Journal of Investigative Medicine High Impact Case Reports
Publisher
SAGE Publications
Publication Date
May 11, 2022
Volume
10
Identifiers
DOI: 10.1177/23247096211066392
PMID: 35543558
PMCID: PMC9102118
Source
PubMed Central
Keywords
Disciplines
  • Case Report
  • AFMR Member
License
Unknown

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.

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