An Adolescent Female with a Resistant Barking Cough: Challenges Faced in Diagnosis and Management
Somatic cough syndrome is a frequently overlooked cause of chronic cough. Most cases are concentrated in the pediatric or adolescent age groups. This case report describes a 16-year-old female suffering from somatic cough syndrome. The patient presented with complaints of cough for the past 9 months...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-07-01
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| Series: | Journal of Advanced Lung Health |
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| Online Access: | https://journals.lww.com/10.4103/jalh.jalh_45_23 |
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| author | Aakanksha Kharb Anand Agrawal Sunny Garg Devinder Kumar Jogender Singh |
| author_facet | Aakanksha Kharb Anand Agrawal Sunny Garg Devinder Kumar Jogender Singh |
| author_sort | Aakanksha Kharb |
| collection | DOAJ |
| description | Somatic cough syndrome is a frequently overlooked cause of chronic cough. Most cases are concentrated in the pediatric or adolescent age groups. This case report describes a 16-year-old female suffering from somatic cough syndrome. The patient presented with complaints of cough for the past 9 months which was sudden in onset, progressive, nonproductive, and interfering with her daily routine activities and had a characteristic barking feature. Her general physical, systemic examination, and investigations were unremarkable. She did not show improvement with multiple trials of bronchodilators, antitussive medications, and antibiotics. On psychiatric evaluation, it was found that 9 months back, the patient had a stressful event at school. Then, she was started on suggestion therapy, and later, psychotropics were also added. As there was only mild improvement, the patient was planned for cerebral aversion to electrical stimuli. She showed significant improvement after the three sessions. Her response was sustained for the next year on follow-ups. This case emphasizes the need for a multidisciplinary approach for the early detection, and management of this challenging illness for better results for such patients. |
| format | Article |
| id | doaj-art-41d5a3ca0218457bbfaa569d4a8a5e66 |
| institution | Kabale University |
| issn | 2772-7165 2772-7173 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Advanced Lung Health |
| spelling | doaj-art-41d5a3ca0218457bbfaa569d4a8a5e662025-08-20T03:31:33ZengWolters Kluwer Medknow PublicationsJournal of Advanced Lung Health2772-71652772-71732025-07-015315315610.4103/jalh.jalh_45_23An Adolescent Female with a Resistant Barking Cough: Challenges Faced in Diagnosis and ManagementAakanksha KharbAnand AgrawalSunny GargDevinder KumarJogender SinghSomatic cough syndrome is a frequently overlooked cause of chronic cough. Most cases are concentrated in the pediatric or adolescent age groups. This case report describes a 16-year-old female suffering from somatic cough syndrome. The patient presented with complaints of cough for the past 9 months which was sudden in onset, progressive, nonproductive, and interfering with her daily routine activities and had a characteristic barking feature. Her general physical, systemic examination, and investigations were unremarkable. She did not show improvement with multiple trials of bronchodilators, antitussive medications, and antibiotics. On psychiatric evaluation, it was found that 9 months back, the patient had a stressful event at school. Then, she was started on suggestion therapy, and later, psychotropics were also added. As there was only mild improvement, the patient was planned for cerebral aversion to electrical stimuli. She showed significant improvement after the three sessions. Her response was sustained for the next year on follow-ups. This case emphasizes the need for a multidisciplinary approach for the early detection, and management of this challenging illness for better results for such patients.https://journals.lww.com/10.4103/jalh.jalh_45_23habitual coughpsychogenic coughpsychophysiologic disorderssomatic coughsomatoform disordertic cough |
| spellingShingle | Aakanksha Kharb Anand Agrawal Sunny Garg Devinder Kumar Jogender Singh An Adolescent Female with a Resistant Barking Cough: Challenges Faced in Diagnosis and Management Journal of Advanced Lung Health habitual cough psychogenic cough psychophysiologic disorders somatic cough somatoform disorder tic cough |
| title | An Adolescent Female with a Resistant Barking Cough: Challenges Faced in Diagnosis and Management |
| title_full | An Adolescent Female with a Resistant Barking Cough: Challenges Faced in Diagnosis and Management |
| title_fullStr | An Adolescent Female with a Resistant Barking Cough: Challenges Faced in Diagnosis and Management |
| title_full_unstemmed | An Adolescent Female with a Resistant Barking Cough: Challenges Faced in Diagnosis and Management |
| title_short | An Adolescent Female with a Resistant Barking Cough: Challenges Faced in Diagnosis and Management |
| title_sort | adolescent female with a resistant barking cough challenges faced in diagnosis and management |
| topic | habitual cough psychogenic cough psychophysiologic disorders somatic cough somatoform disorder tic cough |
| url | https://journals.lww.com/10.4103/jalh.jalh_45_23 |
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