An 8-month-old girl with shortness of breath and wheezing (2007) | EAACI.org

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

Correspondence: This email address is being protected from spambots. You need JavaScript enabled to view it.


Click here to download the PDF Version!!

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
    Privacy Policy - disclaimer

    EAACI recently updated its privacy policy and would like to highlight some key bits of information with you.

    • EAACI does not distribute, share or sell your information;
    • For technical and administrative purposes some information that can be used to identify you may be forwarded to third parties. For example, to process your registration for the EAACI Annual Congress and other EAACI events;
    • The Academy may also send you e-mail messages with news from the society. If you would like to no longer receive them, you can unsubscribe at any time by using the unsubscribe link in any of our communications;
    • You may also update your preferences or your profile information at any time by contacting us.

    To continue please confirm that you agree with our updated privacy policy.

    Thank you!

    You have successfully agreed the new privacy policy – disclaimer.

    Thank you!

    You disagreed with the new privacy policy – disclaimer and your feedback will be reviewed as soon as possible.

    Agree & Continue
    Disagree
    Send feedback
    Cancel