A Case of Life‐Threatening Stridor: Vallecular Cyst in a 2‐Month‐Old Infant

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Abstract
Vallecular cysts are uncommon birth defects that substantially restrict an infant's airway. This paper emphasizes the difficulties in diagnosing and managing a transfer case with limited resources. If these cysts are not detected early, they can have major clinical consequences. A 2‐month‐old female infant presented with progressive inspiratory stridor, respiratory distress, vomiting, and fever over one month. Initial investigations suggested pneumonia, but direct laryngoscopy revealed a large vallecular cyst compressing the laryngeal structures. Blood cultures grew Staphylococcus epidermidis (MRSE). Emergency tracheostomy preceded complete cyst excision. Postoperative tracheal cultures identified XDR Acinetobacter, managed with targeted antibiotics.

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