A previously well 6-year-old girl was brought to the emergency department after being found unusually lethargic with vomiting and abnormal breathing while staying with relatives. She had been reportedly healthy earlier in the day. There was no known history of trauma, fever, or chronic illness. On arrival, she appeared critically ill with a depressed mental … Read more
A 14-week-old male infant was brought to the emergency department with fever, cough, and progressive respiratory distress. Caregivers reported three days of rhinorrhea and nasal congestion followed by worsening cough and decreased feeding over the preceding 24 hours. During the last 10 hours, the infant developed post-tussive emesis, tactile fever, and increased work of breathing. … Read more
A 9-week-old female infant was brought to the emergency department with progressive lethargy, decreased oral intake, and increased work of breathing. Caregivers reported that she had been sleeping more than usual and appeared less interactive over several days. Feeding had become increasingly difficult, with diaphoresis and tachypnea during bottle feeds requiring frequent pauses. On arrival, … Read more
