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Figure 1. A three-year-old girl with a declining growth rate and recurrent iron-deficiency anemia presented with a five-day history of nonproductive cough, fever, and anorexia. In association with an upper respiratory tract infection two weeks earlier, she had had hemoptysis involving 3-cm globs of bright red blood. Examination revealed a temperature of 39°C (102.2°F), a heart rate of 150 per minute, a respiratory rate of 60 per minute, and an oxygen saturation of 88 percent while she was breathing room air. Her breathing was labored, and breath sounds were decreased but coarse bilaterally. Chest radiographs revealed bilateral patchy alveolar . . . [Full Text of this Article] |
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