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A 6-week-old girl was referred to the respiratory unit in a tertiary hospital for persistent tachypnoea since she was 5 days old and changes on her chest X-ray. She was born at 37+2 weeks following emergency caesarean section for breech. Antenatal scans were normal and there were no risk factors for sepsis. At day 5 of life, the parents noted increased work of breathing with significant subcostal recessions. Her tachypnoea gradually worsened, and this affected her feeds. A chest X-ray was performed (figure 1) at 4 weeks of age and images were shared with the tertiary unit for opinion. She was admitted at 6 weeks to the tertiary unit for further investigations. On examination, she appeared lethargic and had a respiratory rate of 45 beats per minute with saturations 97% in air. She had good air entry bilaterally with moderate subcostal recessions. …
Contributors LMAW is the guarantor of the article. Her contribution includes—identifying the case, writing the article, doing literature search, liaising with radiology to acquire images, obtaining consent from parents and submitting the article to the journal. IS: peer reviewed the article, provided support in literature search, helped frame the structure of the answers and primarily managed the case. RG: provided the initial care to the patient in district general hospital.
Competing interests None declared.
Patient consent Parental/guardian consent obtained.
Provenance and peer review Not commissioned; externally peer reviewed.