A 9-month-old girl was presented for hospital readmission for acute stridor . The infant had a history of prematurity at 25 weeks of gestation, with a complicated NICU stay due to multiple intubations . Due to the severity of symptoms during initial hospitalization , the infant required noninvasive continuous positive airway pressure , helium-oxygen mixture , and racemic epinephrine . Based on the presentation and neck radiography (positive for “ steeple sign ”), the infant was diagnosed with viral croup .
She was provided with appropriate treatments. However, she had to be returned to the hospital two days post-discharge due to the recurrence of stridor , significant retractions , and tachypnea with normal oxygen saturations . The bedside awake fiber optic laryngoscopy revealed 2 subglottic cysts ( image attached for reference ). The left posterior subglottic cyst was found to be…
