| Accession number;05A0625477 |
| Title;A Case of Adult Croup caused by Infection of Influenza Virus |
| Author;SHONO ATSUKO(Shobara Red Cross Hospital, JPN) NAKAMURA YUJI(Shobara Red Cross Hospital, JPN) KISHIMOTO TOMOMUNE(Shimane Univ.) ONO KUNIHIKO(Hiroshima Prefect. Hosp., JPN) |
Journal Title;Japanese Journal of Intensive Care Medicine
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Journal Code:Z0581B
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ISSN:0389-1194
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VOL.29;NO.5;PAGE.405-408(2005)
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| Figure&Table&Reference;FIG.2, REF.9 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;We report a female adult patient with virologically confirmed croup caused by influenza virus The patient was a 75-year-old woman with prodromal symptoms of cough and fever for 2 days. On her admission to the hospital she was alert, talked with a very hoarse voice, and body temperature was 38.8.DEG.C.. She had inspiratory stridor, but no cyanosis. Laryngoscopic examination revealed subglottic edema, and direct antigen for influenza virus was detected. She was admitted and treated with intravenous steroids and oral oseltamivir. Four hours later, the patient's condition deteriorated abruptly and dyspnea increased significantly. The arterial oxygen saturation was 81% in room air. The anteroposterior view of X-ray of the neck showed a distinctly narrowed subglottic space. She was immediately intubated with a size 6.5 endotracheal tube without using muscle relaxant. After 3 days she was afebrile and extubated. Subsequent bronchoscopic examination showed gradual reduced swelling of the tracheobronchial mucosa and she was discharged on the 5 th day. Croup in adult patients is diagnosed very rarely, but it is more severe than pediatric croup. A close observation and a prompt decision to keep the airway patent are essential for its effective management. (author abst.) |
