A case of recurrent course of acute obstructive laryngitis with severe relapses in a 6-month-old baby

A clinical case of severe acute obstructive laryngitis (AOL) with a recurrent course in a 6-month-old baby is presented. The main factors influencing the severity of the first episode were the age-inappropriate dosage and the route of a glucocorticosteroid administration at the pre-hospital stage, as well as the untimely hospitalization. The recurrent course was due to the peculiarities of a premorbid background and a concomitant pathology, that is an anatomical formation in the subglottic space, the removal of which prevented further recurrences. This clinical case demonstrates the importance of adherence to current protocols of AOL treatment regarding the dosage and routes of administration of drugs used to manage urgent symptoms of young children. Due to the rare incidence of severe acute obstructive laryngitis, it is necessary to keep pediatricians informed about the main factors that may alter the course of the pathological process towards increased disease severity or recurrence.