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Images in paediatrics
Unusual case presenting as viral induced wheeze
  1. Ema Kavaliunaite1,
  2. Katharine Harman1,
  3. Alex Barnacle2
  1. 1 Respiratory Department, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
  2. 2 Interventional Radiology Department, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
  1. Correspondence to Dr Ema Kavaliunaite, Respiratory, Great Ormond Street Hospital for Children NHS Foundation Trust, London WC1N 3JH, UK; ema.kavaliunaite{at}gosh.nhs.uk

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A 3-year-old boy presented with a 48-hour history of severe wheeze and increased work of breathing. He had a background of mild wheeze and an antenatal history of pericardial fluid drained at 35 weeks’ gestation, without long-term follow-up. Examination revealed subcostal and intercostal recession and bilateral wheeze, worse when lying flat. Blood tests revealed a haemoglobin level of 91 g/L and normal inflammatory markers. Chest radiograph …

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Footnotes

  • Twitter @BarnacleAlex

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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