A fully immunized 2-year-old boy presents to the emergency room with several days of low-grade fever,barking cough,and noisy breathing. Over the last few hours he has developed a fever of 40℃ 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 only
  • E: Oral antibiotics and outpatient follow-up

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