A fully immunized 2-year-old presents to the emergency room with several days of low-grade fever, barking cough, and noisy breathing. Over the past few hours he has developed a fever of 40°C (104°F) and looks toxic. He has inspiratory and expiratory stridor. The family has not noticed drooling, and he seems to be drinking without pain. Direct laryngoscopy reveals a normal epiglottis. The management of this disease process includes which of the following?

a. Intubation and intravenous antibiotics

b. Inhaled epinephrine and oral steroids

c. Inhaled steroids

d. Observation in a cool mist tent

e. Oral antibiotics and outpatient follow-up

the answer is below…
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