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Precision Induction and Distinction of Coughing and Sneezing Reflexes in Mice
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Cough and you'll miss it.

Seana Molloy1, Gemma Batchelor2, Luke McCadden3

  • 1Paediatrics, Royal Belfast Hospital for Sick Children, Belfast, UK seana.molloy@belfasttrust.hscni.net.

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Summary
This summary is machine-generated.

A 9-month-old boy experienced acute wheezing, initially resolving but returning with respiratory distress. This case highlights the importance of considering foreign body aspiration in young children with sudden onset wheeze.

Keywords:
coughforeign body aspirationpaediatricwheeze

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Area of Science:

  • Pediatric Emergency Medicine
  • Respiratory Medicine

Background:

  • A 9-month-old boy with a history of cleft lip repair and awaiting palatoplasty presented with acute wheezing.
  • The child had mild eczema and a small patent ductus arteriosus (PDA), with no prior wheezing episodes.

Observation:

  • Initial presentation resolved spontaneously, with normal oxygen saturation and respiratory rate, leading to discharge with safety net advice.
  • The child re-presented two days later with cough, wheeze, and shortness of breath, exhibiting subcostal recession and reduced air entry on the right.

Findings:

  • Despite initial presentation, the second assessment revealed signs of respiratory distress without audible wheeze or crackles.
  • Vital signs remained stable with 98% oxygen saturation, but the respiratory rate increased.

Implications:

  • This case underscores the diagnostic challenge of foreign body aspiration presenting as acute wheeze in infants.
  • Prompt re-evaluation is crucial for infants with persistent or worsening respiratory symptoms after initial discharge.
  • Further investigation may be warranted to rule out underlying conditions or complications.