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First Time Wheezing in a 2-Year-Old

Authors :
James S. Kemp
Sanjeev Bhalla
Andrew J. White
Chung Lee
Michele M. Estabrook
Luke Viehl
Source :
Pediatrics. 148(1)
Publication Year :
2021

Abstract

Pediatric patients with respiratory signs and symptoms who are found to be wheezing present a diagnostic dilemma to pediatricians. The majority of these cases are diagnosed as some degree of reactive airway disease, either as viral bronchiolitis or asthma. In this scenario, a patient with wheezing was initially given 2 courses of appropriate antibiotics on the basis of the duration and concurrence of other symptoms. However, he was subsequently referred to a pediatric pulmonologist for further workup after failure to improve and persistent oxygen saturations in the low-to-mid 90s. More extensive testing was completed by the pediatric pulmonologist, in addition to a short hospital admission. A rigid bronchoscopy was eventually completed, which revealed small pieces of partially digested material. Although his persistent cough resolved, his saturations continued to be suboptimal. A chest computed tomography scan with contrast was then completed, which eventually led to his diagnosis and appropriate treatment and resolution of his symptoms.

Details

ISSN :
10984275
Volume :
148
Issue :
1
Database :
OpenAIRE
Journal :
Pediatrics
Accession number :
edsair.doi.dedup.....212d8894bde1eed39bc5fa17d46008e3