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A bronchogenic cyst masquerading as asthma: A case report

M D Moremi1, A L Motene1, N J Maligavhada1

  • 1Department of Paediatric Pulmonology and Allergy, University of Limpopo and Pietersburg Provincial Hospital, Polokwane, South Africa.

African Journal of Thoracic and Critical Care Medicine
|September 20, 2021
PubMed

Insights

Wheezing in young children can be challenging to diagnose due to multiple causes. This case highlights the importance of considering alternative diagnoses if asthma treatment fails in pediatric patients.

Area of Science:

  • Pediatric Pulmonology
  • Clinical Diagnosis
  • Differential Diagnosis

Background:

  • Wheezing is a common symptom in infants and children under five.
  • Asthma is frequently diagnosed, but other conditions can cause wheezing.
  • Accurate diagnosis requires thorough history, allergy assessment, and investigations.

Observation:

  • A case of a child presenting with persistent wheezing is described.
  • The child's wheezing symptoms did not improve with standard asthma therapy.
  • This lack of response prompted further diagnostic evaluation.

Findings:

  • The initial diagnosis of asthma was questioned due to therapeutic non-response.
  • Further investigation was necessary to identify the underlying cause of wheezing.
  • This case underscores the complexity of pediatric respiratory symptoms.

Implications:

  • Clinicians should consider alternative diagnoses for pediatric wheezing unresponsive to asthma treatment.
  • A systematic diagnostic approach is crucial for complex pediatric respiratory cases.
  • Timely re-evaluation can lead to accurate diagnosis and appropriate management.

Keywords:
South Africabronchogenic cytscase studypaediatric malepaediatric pulmonology

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