Case reports

An 8-month-old girl with shortness of breath and wheezing (2007)

1144An 8-month-old girl with shortness of breath and wheezing

April 2007

DOI: 10.1594/eaacinet2007/CR/5-270407

Maarten Blanken, Louis Bont*

Wilhelmina Children’s Hospital, Utrecht, Division Pediatric Infectious Diseases

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An 8-month-old girl was admitted to the emergency department of a secondary hospital for recurrent episodes of shortness of breath. She had been referred to the hospital by the general practitioner after 3 days of gradually worsening symptoms of difficult breathing, cough and expiratory wheeze. No medication had been given.

Clinical Examination
Physical examination on admission showed a well-developed, well-nourished infant. There were no congenital abnormalities. The patient had a normal weight and length.

  • Temperature: 38,2ºC

  • Blood pressure: 90/65 mmHg

  • Heart rate: 140/min regular

  • Respiratory rate: 65/minute with nasal flaring and intercostal retractions

  • Pulse oximetry: 95% on room temperature

  • She was alert, but dyspneic. The nose contained copious clear mucus. Ear and oropharynx examination showed no inflammation. Lung auscultation revealed a prolonged expiratory phase with end-expiratory wheeze. There were normal heart sounds and no heart murmurs. Further physical examination showed no abnormalities.

    On admission she received humidified oxygen by mask and intravenous saline infusion.

    * Which information do you further require to get a good clinical picture of this infant? *

    Last updated 16 January 2015