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An infant with a persistent cough and an unusual course of the nasogastric tube
  1. Elizabeth Leith1,
  2. Paul Aurora2,
  3. Colin Wallis2
  1. 1 Homerton University Hospital, London, UK
  2. 2 Respiratory Unit, Great Ormond Street Hospital For Children NHS Foundation Trust, London, UK
  1. Correspondence to Dr Elizabeth Leith, Homerton University Hospital, London E9 6SR, UK; elizabethleith{at}nhs.net

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A 10-month-old girl was transferred to us following a respiratory arrest. She had a 9-week history of paroxysmal coughing and became increasingly unwell with a presumed viral infection. On day 2 of her admission, nasogastric feeding was commenced due to risk of aspiration. Previous chest radiographs without a nasogastric tube had been undertaken locally.

The supine anteroposterior chest radiograph (figure 1) shows a widened mediastinum with displacement of the …

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