Case reports

An 8-month-old girl with shortness of breath and wheezing (2)

She was born at full term by normal vaginal delivery after an uncomplicated gestation. At the age of 7 weeks she experienced a similar period of difficulty breathing. She was then diagnosed with acute bronchiolitis. A nasal aspirate was positive for respiratory syncytial virus (RSV) as determined by immunofluo-rescence. Chest radiograph showed hyperexpansion and interstitial markings consistent with bronchiolitis. Bronchoscopy showed normal airway anatomy. She was transferred to the pediatric intensive care unit for 4 days because of continuous hypoxemia (pulse oximeter readings <90%) during the first hours in the hospital. She was mechanically ventilated. Treatment with nebulized salbutamol and ipratropium bromide, did not have a significant effect. After day 2 she improved and after 10 days she was discharged from the hospital. During the following months she experienced 3 relapses of moderate wheeze without the need for hospital admission. There was no family history of heart or lung disease, cystic fibrosis, congenital malformations or other disorders. None of her family members had asthmatic or allergic symptoms.

* What are your next diagnostic steps? *

Last updated 16 December 2014
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
Send feedback