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A 5-year-old boy presented to the emergency department, with 10 days history of dry cough, increasing shortness of breath, blue coloured lips and facial puffiness.
On examination, respiratory rate was 20 breaths/min, oxygen saturations was 98% on room air, and on inspection the child had facial swelling, associated with prominent neck veins. On auscultation of the chest bilateral wheeze with harsh breath sounds were heard.
A chest radiograph revealed enlarged soft tissues in the upper …
Competing interests None.
Patient consent Obtained.