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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 showed …
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.
Patient consent for publication Parental/guardian consent obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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