AIMS: To present our experience of severe @entity1224 caused by @entity1066 in @entity1 . METHODS: Retrospective case note review of 263 @entity1 with severe @entity1224 and a clinical diagnosis of croup admitted to a paediatric intensive care unit (PICU) over a five year period. RESULTS: A total of 148 @entity1 (56%) underwent microlaryngoscopy (Storz 3.0 rigid telescope). Laryngeal ulceration with @entity4 was documented in 15 of these @entity1 (10%), median age 14 months (range 10-36) and median weight 10 kg (range 6-12). Twenty seven of the @entity1 who underwent microlaryngoscopy (18%) also had @entity1066 consistent @entity2025 . @entity1066 was documented in nine of 27 (33%) @entity1 with, and in six of 121 (5%) @entity1 without, coexistent @entity1066 . One of the 15 @entity1 did not require airway intervention. Nine @entity1 required nasotracheal intubation for a median of 4 days (range 3-11) and median PICU stay of 6 days (range 4-14). Five @entity1 required tracheostomy ab initio, with a median PICU stay of 30 days (range 20-36), and duration of tracheostomy in situ for a median of 19 days (range 15-253). All 15 @entity1 survived. CONCLUSION: @entity1066 is more common in our @entity1 population than the few reports suggest. Early diagnostic microlaryngoscopy is recommended in @entity1 with severe croup who follow an atypical course.

Severe XXXX caused by @entity1066 .

@entity1 :: ('9606', 'Species') :: ['children', 'patient'] @entity4 :: ('MESH:D004487', 'Disease') :: ['oedema'] @entity1066 :: ('MESH:D014456', 'Disease') :: ['ulcerative gingivostomatitis', 'Ulcerative laryngitis', 'ulcerative laryngitis'] @entity2025 :: ('MESH:D020031', 'Disease') :: ['with herpes simplex virus infection'] @entity1224 :: ('MESH:D000402', 'Disease') :: ['upper airway obstruction']
@entity1224 :: (MESH:D000402,Disease) :: ['upper airway obstruction']
