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Tachypnoea in a well baby: what to do next?
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  • Published on:
    Re: Tachypnoea in a well baby: don't forget the head

    Dear Editor

    We are so sorry not to have included cerebral arterio-venous fistula in the aetiology of unexplained tachypnoea because it is of course a rare but classic cause. Typically the symptoms begin almost immediately after birth if there is a large fistula and the pulmonary artery pressure remains elevated. The fistula allows a large systemic artery to systemic venous shunt with right atrial and right vent...

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    Conflict of Interest:
    None declared.
  • Published on:
    Tachypnoea in a well baby: don't forget the head
    • Paul A.J. Heaton, Consul;tant Paediatrician
    • Other Contributors:
      • Camelia Vaina, Clarissa Barber, Christopher Zaborowski

    We highlight the recent case of a term female neonate aged 9 days who was referred by her community midwife on account of features of mild respiratory distress symptoms. Initially sepsis was suspected and treatment with antibiotics was initiated. Tachypnoea persisted though there were no other abnormal physical signs; laboratory studies were normal. An echocardiogram, performed to exclude a primary cardiac cause showed...

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    Conflict of Interest:
    None declared.