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A 20-month-old boy presented with a 3-day history of persistent fevers (temperatures to 41°C), with decreased oral intake, purulent rhinorrhea, decreased activity, increased difficulty in breathing, and reports of stridor. His immunizations were up to date. His medical history was remarkable for reactive airway disease and premature birth at 34 weeks, requiring 1 week of care in the neonatal intensive care unit. There were no pets at the home and no recent travel; however, the boy's father worked in a medical intensive care unit.
Rohrer JW, Esquivel C. Radiology Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2011;137(6):628. doi:10.1001/archoto.2011.81-a