Question

6. A 5 month-old boy is admitted to the hospital with a 24-hour history of choking spells. These began with repeated coughing where he turned red and gasped for breath. In the previous 2 days he also had two episodes of vomiting. The baby was found to have an increased breathing rate, which was difficult, but his chest x-ray showed no evidence of pneumonia. Blood work showed an abnormally large percentage of lymphocytes (70%). Nasopharyngeal swabs cultured grayish, "mercury-like" colonies, and a Gram stain revealed minute Gram negative coccobacilli. A. What is wrong with the baby? What led you to this diagnosis? B. Is this an unusual disease for a child to have? Could it have been prevented?

          6. A 5 month-old boy is admitted to the hospital with a 24-hour history of choking spells. These began with repeated coughing where he turned red and gasped for breath. In the previous 2 days he also had two episodes of vomiting. The baby was found to have an increased breathing rate, which was difficult, but his chest x-ray showed no evidence of pneumonia. Blood work showed an abnormally large percentage of lymphocytes (70%). Nasopharyngeal swabs cultured grayish, "mercury-like" colonies, and a Gram stain revealed minute Gram negative coccobacilli.

A. What is wrong with the baby? What led you to this diagnosis?

B. Is this an unusual disease for a child to have? Could it have been prevented?

6. A 5 month-old boy is admitted to the hospital with a 24-hour history of choking spells. These began with repeated coughing where he turned red and gasped for breath. In the previous 2 days he also had two episodes of vomiting. The baby was found to have an increased breathing rate, which was difficult, but his chest x-ray showed no evidence of pneumonia. Blood work showed an abnormally large percentage of lymphocytes (70%). Nasopharyngeal swabs cultured grayish, "mercury-like" colonies, and a Gram stain revealed minute Gram negative coccobacilli.

A. What is wrong with the baby? What led you to this diagnosis?

B. Is this an unusual disease for a child to have? Could it have been prevented?

Added by Leah S.

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