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Unusual case of respiratory distress in a newborn
  1. Michael Kershaw1,
  2. Aishin Lok1,
  3. Evelyn Robson2
  1. 1 Neonatology, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK
  2. 2 Paediatric Respiratory Medicine, Leeds Teaching Hospitals NHS Trust, Leeds, UK
  1. Correspondence to Dr Michael Kershaw, Neonatology, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK; michael.kershaw{at}

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A male infant was born by elective caesarean section at term to consanguineous parents. He required inflation breaths at birth and had signs of respiratory distress for which he was admitted to the neonatal unit.

Physical examination revealed tachypnoea with moderate subcostal recession and an intermittent cough. Air entry was equal, but crepitations were heard throughout the chest. His heart sounds were normal and were best heard on the right side. He was commenced on oxygen via a headbox at 3 hours of age, treated for suspected early-onset infection, and a chest X-ray (CXR) was performed (figure 1).

Figure 1

Chest X-ray taken after admission.

Following the X-ray, an echocardiogram was undertaken showing dextrocardia with a structurally normal heart. An abdominal ultrasound showed situs inversus of the abdominal organs which were otherwise structurally normal.

In the following …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.