When is bronchiolitis not bronchiolitis?
| Autor: | Morag N J Wilson, Laura Gardner |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Diagnosis Differential 03 medical and health sciences Work of breathing 0302 clinical medicine 030225 pediatrics medicine Humans 030216 legal & forensic medicine Respiratory system Respiratory Distress Syndrome Newborn Respiratory distress business.industry Infant medicine.disease Radiography Bronchiolitis Pediatrics Perinatology and Child Health Hospital admission Gestation business Airway Hernias Diaphragmatic Congenital Subcostal recession |
| Zdroj: | Archives of disease in childhood. Education and practice edition. 103(5) |
| ISSN: | 1743-0593 |
| Popis: | A 6-month-old male infant had a fourth hospital admission with respiratory distress. He was tachypnoeic and required oxygen but was orally feeding well. He was diagnosed with bronchiolitis and admitted for supportive care. He was born at 30 weeks gestation, had required nasal continuous positive airway pressure for 10 days and was oxygen dependent for 44 days. Viral respiratory screen was negative and had been on all but one occasion when he was respiratory synctial virus positive. As this was his fourth presentation, a chest X-ray was taken (figure 1). No anomaly was present on neonatal films on retrospective review. He improved clinically but remained tachypnoeic with increased work of breathing. He was discharged when maintaining oxygen saturations in air and respiratory follow-up was arranged. Figure 1 Chest X-ray at 6 months. At 7 months of age, he presented with fever, tachypnoea and subcostal recession. He represented to Accident and Emergency three further times with increased work of breathing. His mother remained concerned that subcostal recession was … |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|