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Previous Volume 356:398-407 January 25, 2007 Number 4 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 3-year-old boy was admitted to the hospital because of recurrent episodes of respiratory insufficiency, pulmonary infiltrates, and anemia. He was treated with antibiotics and levalbuterol and budesonide by inhalation at 9, 12, and 23 months of age. At 24 months of age, the patient was seen by his pediatrician because of increased work of breathing. He was sent to the emergency department of this hospital and admitted.

First Admission, 24 Months of Age

The patient was born of a full-term pregnancy with a spontaneous vaginal delivery to a mother with a history of hepatitis C and narcotic dependency. He weighed 3.4 kg at birth and . . . [Full Text of this Article]

Second Admission, 27 Months of Age

Third Admission, 30 Months of Age

Fourth Admission, 32 Months of Age

Fifth Admission, 3 Years of Age

Differential Diagnosis

Pulmonary Hemorrhage

Focal Pulmonary Hemorrhage

            Infections

            Congenital Foregut Malformations

            Neoplasms

            Vascular Malformations

Diffuse Pulmonary Hemorrhage

            Cardiovascular Causes

            Pulmonary–Renal Syndromes

            Coagulation Disorders

            Idiopathic Pulmonary Hemosiderosis

            Diagnostic Tests

            Summary

Clinical Diagnosis

Dr. Debra Boyer's Diagnosis

Pathological Discussion

Discussion of Management

Pathological Diagnosis

Source Information

From the Division of Respiratory Diseases, Children's Hospital (D.B.); the Departments of Pediatrics (D.B.), Radiology (S.J.W.), and Pathology (J.R.S.), Harvard Medical School; and the Departments of Pediatric Radiology (S.J.W.), Pediatrics (T.B.K.), and Pathology (J.R.S.), Massachusetts General Hospital — all in Boston.

Related Letters:

Case 3-2007: A Boy with Respiratory Insufficiency
Agarwal R., Aggarwal A. N., Gupta D., Rossi G., Grigg J., Cooke M. S., Panickar J. R., Kinane T. B., Stone J. R., Boyer D.
Extract | Full Text | PDF  
N Engl J Med 2007; 356:2329-2330, May 31, 2007. Correspondence

This article has been cited by other articles:

• Agarwal, R., Aggarwal, A. N., Gupta, D., Rossi, G., Grigg, J., Cooke, M. S., Panickar, J. R., Kinane, T. B., Stone, J. R., Boyer, D. (2007). Case 3-2007: A Boy with Respiratory Insufficiency. NEJM 356: 2329-2330 [Full Text]