A 14-Year-Old Boy with Unusual Presentation of Respiratory Distress

There are multiple cardiac etiologies for wheezing and respiratory distress which require a high degree of suspicion for the pediatrician to diagnose. We present a case of a patient with a history of long-standing mild persistent asthma with minimal improvement on controller and bronchodilator thera...

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Main Authors: Adam W. Powell, Samuel Hanke, James S. Tweddell, Nicolas Madsen
Format: Article
Language:English
Published: Hindawi Limited 2016-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2016/7313942
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spelling doaj-b61f933682944f02a0fc75fc36eed9fe2020-11-24T21:02:06ZengHindawi LimitedCase Reports in Pediatrics2090-68032090-68112016-01-01201610.1155/2016/73139427313942A 14-Year-Old Boy with Unusual Presentation of Respiratory DistressAdam W. Powell0Samuel Hanke1James S. Tweddell2Nicolas Madsen3Division of Pediatric Cardiology, Cincinnati Children’s Hospital, Cincinnati, OH, USADivision of Pediatric Cardiology, Cincinnati Children’s Hospital, Cincinnati, OH, USADivision of Pediatric Cardiovascular Surgery, Cincinnati Children’s Hospital, Cincinnati, OH, USADivision of Pediatric Cardiology, Cincinnati Children’s Hospital, Cincinnati, OH, USAThere are multiple cardiac etiologies for wheezing and respiratory distress which require a high degree of suspicion for the pediatrician to diagnose. We present a case of a patient with a history of long-standing mild persistent asthma with minimal improvement on controller and bronchodilator therapies who presented to the emergency room with acute respiratory distress. When he demonstrated a lack of improvement with traditional respiratory therapies, additional etiologies of respiratory distress were considered. Ultimately an echocardiogram was performed, which revealed the diagnosis of cor triatriatum. He underwent surgical resection of his accessory membrane and has had no additional symptoms of asthma since repair.http://dx.doi.org/10.1155/2016/7313942
collection DOAJ
language English
format Article
sources DOAJ
author Adam W. Powell
Samuel Hanke
James S. Tweddell
Nicolas Madsen
spellingShingle Adam W. Powell
Samuel Hanke
James S. Tweddell
Nicolas Madsen
A 14-Year-Old Boy with Unusual Presentation of Respiratory Distress
Case Reports in Pediatrics
author_facet Adam W. Powell
Samuel Hanke
James S. Tweddell
Nicolas Madsen
author_sort Adam W. Powell
title A 14-Year-Old Boy with Unusual Presentation of Respiratory Distress
title_short A 14-Year-Old Boy with Unusual Presentation of Respiratory Distress
title_full A 14-Year-Old Boy with Unusual Presentation of Respiratory Distress
title_fullStr A 14-Year-Old Boy with Unusual Presentation of Respiratory Distress
title_full_unstemmed A 14-Year-Old Boy with Unusual Presentation of Respiratory Distress
title_sort 14-year-old boy with unusual presentation of respiratory distress
publisher Hindawi Limited
series Case Reports in Pediatrics
issn 2090-6803
2090-6811
publishDate 2016-01-01
description There are multiple cardiac etiologies for wheezing and respiratory distress which require a high degree of suspicion for the pediatrician to diagnose. We present a case of a patient with a history of long-standing mild persistent asthma with minimal improvement on controller and bronchodilator therapies who presented to the emergency room with acute respiratory distress. When he demonstrated a lack of improvement with traditional respiratory therapies, additional etiologies of respiratory distress were considered. Ultimately an echocardiogram was performed, which revealed the diagnosis of cor triatriatum. He underwent surgical resection of his accessory membrane and has had no additional symptoms of asthma since repair.
url http://dx.doi.org/10.1155/2016/7313942
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