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Respiratory Distress in a 5 Week Old

Respiratory Distress in a 5 Week Old 913959 CPJXXX10.1177/0009922820913959Clinical PediatricsJohnson et al research-article2020 Resident Rounds Clinical Pediatrics 2020, Vol. 59(6) 625 –628 Respiratory Distress in a 5 Week Old © The Author(s) 2020 Article reuse guidelines: sagepub.com/journals-permissions https://doi.org/10.1177/0009922820913959 DOI: 10.1177/0009922820913959 journals.sagepub.com/home/cpj 1 2,3 Scarlett Carmen Johnson, MD , Edward Fong, MD , 2,3 2,3 2,3 Brian Wu, MD , Wade Kyono, MD , Rupert Chang, MD , 2,3 2,3 Venu Reddy, MD , and Prashant Jayantilal Purohit, MD Case Report A 5-week-old term male presented to an outside emer- gency department (ED) with a 1-day history of cough, congestion, respiratory distress, and pallor. On presenta- tion to the ED, his vitals were 98.4°F, heart rate 174 beats per minute, respiratory rate 42 breaths per minute, and O saturation of 86% (room air) with a capillary refill of 3 seconds. The patient was then placed on 15 L/ min FiO 100% via nonrebreather with good response. A chest X-ray (CXR) revealed a large left-sided infiltrate versus effusion with no pneumothorax (Figure 1). A complete blood count revealed hemoglobin of 8 g/dL, white blood cell count 10.8 × 10 /L, C-reactive protein of 8.8 mg/L, and a B-natriuretic peptide (BNP) of 3280 pg/mL. He received ceftriaxone and vancomycin, http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Clinical Pediatrics SAGE

Respiratory Distress in a 5 Week Old

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References (7)

Publisher
SAGE
Copyright
© The Author(s) 2020
ISSN
0009-9228
eISSN
1938-2707
DOI
10.1177/0009922820913959
Publisher site
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Abstract

913959 CPJXXX10.1177/0009922820913959Clinical PediatricsJohnson et al research-article2020 Resident Rounds Clinical Pediatrics 2020, Vol. 59(6) 625 –628 Respiratory Distress in a 5 Week Old © The Author(s) 2020 Article reuse guidelines: sagepub.com/journals-permissions https://doi.org/10.1177/0009922820913959 DOI: 10.1177/0009922820913959 journals.sagepub.com/home/cpj 1 2,3 Scarlett Carmen Johnson, MD , Edward Fong, MD , 2,3 2,3 2,3 Brian Wu, MD , Wade Kyono, MD , Rupert Chang, MD , 2,3 2,3 Venu Reddy, MD , and Prashant Jayantilal Purohit, MD Case Report A 5-week-old term male presented to an outside emer- gency department (ED) with a 1-day history of cough, congestion, respiratory distress, and pallor. On presenta- tion to the ED, his vitals were 98.4°F, heart rate 174 beats per minute, respiratory rate 42 breaths per minute, and O saturation of 86% (room air) with a capillary refill of 3 seconds. The patient was then placed on 15 L/ min FiO 100% via nonrebreather with good response. A chest X-ray (CXR) revealed a large left-sided infiltrate versus effusion with no pneumothorax (Figure 1). A complete blood count revealed hemoglobin of 8 g/dL, white blood cell count 10.8 × 10 /L, C-reactive protein of 8.8 mg/L, and a B-natriuretic peptide (BNP) of 3280 pg/mL. He received ceftriaxone and vancomycin,

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Clinical Pediatrics – SAGE

Published: Jun 1, 2020

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