Pediatric Annals

Case Challenges 

A 3-month-old Girl with Chest Congestion and Cough

Daniel Schwartz, MD

  • Pediatric Annals. 2007;36(6)
  • Posted June 1, 2007

Abstract

Editor’s note: Each month, this department features a discussion of an unusual diagnosis in genetics, radiology, or dermatology. A description and images are presented, with the diagnosis and an explanation of how the diagnosis was determined following. As always, your comments are welcome.

A 3-month-old girl presented to the emergency department with a history of increased work of breathing, worsening congestion, and cough. Two days previously, she was seen in the ED, diagnosed with otitis media (right tympanic membrane retracted), given antibiotics, and sent home. At that time, there was noted to be congestion and cough, but the lungs were clear to auscultation and her oxygen saturation was 100%.

Abstract

Editor’s note: Each month, this department features a discussion of an unusual diagnosis in genetics, radiology, or dermatology. A description and images are presented, with the diagnosis and an explanation of how the diagnosis was determined following. As always, your comments are welcome.

A 3-month-old girl presented to the emergency department with a history of increased work of breathing, worsening congestion, and cough. Two days previously, she was seen in the ED, diagnosed with otitis media (right tympanic membrane retracted), given antibiotics, and sent home. At that time, there was noted to be congestion and cough, but the lungs were clear to auscultation and her oxygen saturation was 100%.

Editor’s note: Each month, this department features a discussion of an unusual diagnosis in genetics, radiology, or dermatology. A description and images are presented, with the diagnosis and an explanation of how the diagnosis was determined following. As always, your comments are welcome.

A 3-month-old girl presented to the emergency department with a history of increased work of breathing, worsening congestion, and cough. Two days previously, she was seen in the ED, diagnosed with otitis media (right tympanic membrane retracted), given antibiotics, and sent home. At that time, there was noted to be congestion and cough, but the lungs were clear to auscultation and her oxygen saturation was 100%.

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