{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T14:04:33Z","timestamp":1784988273992,"version":"3.55.0"},"reference-count":11,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"abstract":"<jats:p>Croup in adults is a rare but potentially life-threatening condition. We describe a case of croup in a 40-y-old female climber, likely precipitated by exposure to cold, dry air at high altitude. To our knowledge, this is the first documented case of croup in an adult associated with exposure to high altitude. This case highlights the importance of early recognition and timely intervention in managing this uncommon presentation in an adult of a common childhood condition.<\/jats:p>","DOI":"10.1177\/10806032261471145","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T12:24:35Z","timestamp":1784809475000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Breathing Through a Straw: A Case of Adult Croup at High Altitude"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2193-0034","authenticated-orcid":false,"given":"Jasmine Y.","family":"Gale","sequence":"first","affiliation":[{"name":"Himalayan Rescue Association"},{"name":"Department of Emergency Medicine, Dartmouth Hitchcock Medical Center, Lebanon, NH, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1379-7126","authenticated-orcid":false,"given":"Joanne HY","family":"Lai","sequence":"additional","affiliation":[{"name":"Himalayan Rescue Association"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prince","family":"Singh","sequence":"additional","affiliation":[{"name":"Himalayan Rescue Association"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prakash","family":"Khatri","sequence":"additional","affiliation":[{"name":"Himalayan Rescue Association"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4928-840X","authenticated-orcid":false,"given":"Ken","family":"Zafren","sequence":"additional","affiliation":[{"name":"Himalayan Rescue Association"},{"name":"Stanford University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60170-1"},{"key":"e_1_3_3_3_2","first-page":"1","article-title":"A narrowing diagnosis: a rare cause of adult croup and literature review","volume":"2017","author":"Patel JJ","year":"2017","unstructured":"Patel JJ, Kitchin E, Pfeifer K. A narrowing diagnosis: a rare cause of adult croup and literature review. Case Rep Crit Care. 2017;2017:1\u20133.","journal-title":"Case Rep Crit Care"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1159\/000056301"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.medcli.2016.07.025"},{"issue":"9","key":"e_1_3_3_6_2","first-page":"575","article-title":"Croup: diagnosis and management","volume":"97","author":"Smith DK","year":"2018","unstructured":"Smith DK, McDermott AJ, Sullivan JF. Croup: diagnosis and management. Am Fam Physician. 2018;97(9):575\u2013580.","journal-title":"Am Fam Physician"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1006\/viro.1994.1665"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.3402\/ijch.v66i2.18237"},{"key":"e_1_3_3_9_2","unstructured":". Verza GP. Meteorological Raw Data. Pyramid Automatic Weather Station. https:\/\/www.evk2cnr.org\/en\/pyramid-observatory-laboratory."},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.11.1274"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2023-061365"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-141-10-200411160-00010"}],"container-title":["Wilderness &amp; Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032261471145","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10806032261471145","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032261471145","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T13:52:21Z","timestamp":1784987541000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10806032261471145"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,23]]},"references-count":11,"alternative-id":["10.1177\/10806032261471145"],"URL":"https:\/\/doi.org\/10.1177\/10806032261471145","relation":{},"ISSN":["1080-6032","1545-1534"],"issn-type":[{"value":"1080-6032","type":"print"},{"value":"1545-1534","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,23]]},"article-number":"10806032261471145"}}