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Journal of Case Reports
Dilemma in Diagnosis between Acute Laryngotracheobronchitis and Airway Foreign Body

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Soma Mandal, Animesh Ghosh, Soumik Saha, Agniva Basu, Sandipan Naskar, Ranjan Paul    
Department of ENT & HNS, Calcutta National Medical College and Hospital, Kolkata, India.
Corresponding Author:
Dr. Agniva Basu
Email: agnivo86@rediffmail.com
Received: 29-SEP-2014 Accepted: 26-DEC-2014 Published Online: 25-JAN-2015
DOI: http://dx.doi.org/10.17659/01.2015.0010
Abstract
Old laryngeal foreign bodies may sometimes present with features simulating acute laryngotracheobronchitis in pediatric population. Here we present a case of a 3 year old girl, presenting with stridor that was initially diagnosed as laryngotracheobronchitis. The patient required emergency tracheostomy to relieve stridor, but check bronchoscopy for evaluation of the airway revealed a subglottic foreign body (impacted stone) which was removed under general anaesthesia. The case was unique as the presentation mimicked acute laryngotracheobronchitis which in most of the cases relieves on conservative management.
Keywords : Foreign Bodies, Laryngotracheobronchitis, Croup, Child, Tracheostomy, Bronchoscopy, Humans.
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