14th August 2020

A 4-year-old child presents to the A&E with their mother

A 4-year-old child presents to the A&E with their mother. Their mother is worried because her child has been very lethargic and complaining of a sore throat since this morning. On examination, you note pallor, drooling, a high-pitched sound on inspiration, tracheal tug, intercostal and subcostal recession. They are also holding themselves in the tripod position.

The observations are as follows: 

RR 35, Sp02 91%, HR 150, BP 100/60, T 39.8

What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.