Page 1 / Case 09/02
Pediatric Respiratory Fellow
The Hospital For Sick Children Toronto, Ontario
PRESENTING FELLOW
Dr. Mary E. Noseworthy MD FRCPCPediatric Respiratory Fellow
The Hospital For Sick Children Toronto, Ontario
CASE PRESENTATION
Case of a 20 month old boy with asthma who presented to a peripheral hospital with respiratory distress, an oxygen requirement (new), and cysts on his very first chest xray.CASE HISTORY
This 20-month-old male was transferred to our hospital after a five-day admission at a peripheral hospital for respiratory distress. He presented to Emergency with cough, shortness of breath, retractions, fatigue, lethargy and failure to thrive. He was admitted with a presumed viral exacerbation of asthma and treated with ventolin and steroids for five days. Since he did not respond to this therapy, a chest xray was ordered. (Shown below.)
Enlarge the CHEST X-RAY LEFT, enlarge the CHEST X-RAY RIGHT.
WHAT IS YOUR DIFFERENTIAL DIAGNOSIS?
Next page