6533b871fe1ef96bd12d10ff

RESEARCH PRODUCT

Stridor in children

subject

description

A 16-month-old boy was referred to the emergency department of the Children's Clinical University Hospital (Riga, Latvia) due to cough and noisy breathing for 3 months. The complaints seemed to have worsened over time with coughing fits 2–4 days a week and the boy not being able to tolerate solid food (leading to vomiting) during the fits. In between the bouts, he felt fine. Diminished food intake was noted over the last month. Over the 3-month period, no other symptoms were noted. The father of the child was fixated on a diagnosis of asthma and categorically denied the possibility of any choking attacks after eating or playing with small objects. The boy had been seen by pulmonologist once over the preceding 3-month period and was treated with salbutamol and high-dose fluticasone propionate inhalations that offered no alleviation of the symptoms. No imaging studies had been performed.