Persistent Tachypnea and Alveolar Hemorrhage in an Infant: An Unexpected Etiology
Persistent tachypnea and failure to thrive during infancy have a broad differential diagnosis which includes pulmonary and cardiovascular disorders. Diffuse alveolar hemorrhage (DAH) is a rare entity in children. DAH requires an extensive work-up as certain conditions may need chronic therapy. Cardi...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2016/3168257 |
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| author | John Bishara Angela Webb Christina Valsamis Claudia Halaby Melodi Pirzada |
| author_facet | John Bishara Angela Webb Christina Valsamis Claudia Halaby Melodi Pirzada |
| author_sort | John Bishara |
| collection | DOAJ |
| description | Persistent tachypnea and failure to thrive during infancy have a broad differential diagnosis which includes pulmonary and cardiovascular disorders. Diffuse alveolar hemorrhage (DAH) is a rare entity in children. DAH requires an extensive work-up as certain conditions may need chronic therapy. Cardiovascular disorders are included in the etiology of DAH. We present a case of an 8-month-old female with a moderate, restrictive patent ductus arteriosus (PDA) admitted to the hospital with respiratory distress and failure to thrive. An extensive work-up into tachypnea including multiple echocardiograms did not find an etiology. Open lung biopsy was performed and consistent with pulmonary hypertension. After closure of the PDA, patient’s tachypnea improved, and she was discharged home with periodic follow-up showing a growing, thriving child. When an infant presents with tachypnea, a respiratory viral illness is often a common cause. The diagnosis of persistent tachypnea requires further investigation. Echocardiography, although readily available, may not always be sensitive in detecting clinically significant pulmonary hypertension. A clinician must have a heightened index of suspicion to proceed in evaluating for causes of tachypnea with a nonrespiratory etiology. |
| format | Article |
| id | doaj-art-c9b5aa57a63a440dad7ffbbe3f551d54 |
| institution | OA Journals |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-c9b5aa57a63a440dad7ffbbe3f551d542025-08-20T02:19:35ZengWileyCase Reports in Pediatrics2090-68032090-68112016-01-01201610.1155/2016/31682573168257Persistent Tachypnea and Alveolar Hemorrhage in an Infant: An Unexpected EtiologyJohn Bishara0Angela Webb1Christina Valsamis2Claudia Halaby3Melodi Pirzada4Department of Pediatric Pulmonology, Winthrop University Hospital, Mineola, NY, USADepartment of Pediatric Pulmonology, Winthrop University Hospital, Mineola, NY, USADepartment of Pediatric Pulmonology, Winthrop University Hospital, Mineola, NY, USADepartment of Pediatric Pulmonology, Winthrop University Hospital, Mineola, NY, USADepartment of Pediatric Pulmonology, Winthrop University Hospital, Mineola, NY, USAPersistent tachypnea and failure to thrive during infancy have a broad differential diagnosis which includes pulmonary and cardiovascular disorders. Diffuse alveolar hemorrhage (DAH) is a rare entity in children. DAH requires an extensive work-up as certain conditions may need chronic therapy. Cardiovascular disorders are included in the etiology of DAH. We present a case of an 8-month-old female with a moderate, restrictive patent ductus arteriosus (PDA) admitted to the hospital with respiratory distress and failure to thrive. An extensive work-up into tachypnea including multiple echocardiograms did not find an etiology. Open lung biopsy was performed and consistent with pulmonary hypertension. After closure of the PDA, patient’s tachypnea improved, and she was discharged home with periodic follow-up showing a growing, thriving child. When an infant presents with tachypnea, a respiratory viral illness is often a common cause. The diagnosis of persistent tachypnea requires further investigation. Echocardiography, although readily available, may not always be sensitive in detecting clinically significant pulmonary hypertension. A clinician must have a heightened index of suspicion to proceed in evaluating for causes of tachypnea with a nonrespiratory etiology.http://dx.doi.org/10.1155/2016/3168257 |
| spellingShingle | John Bishara Angela Webb Christina Valsamis Claudia Halaby Melodi Pirzada Persistent Tachypnea and Alveolar Hemorrhage in an Infant: An Unexpected Etiology Case Reports in Pediatrics |
| title | Persistent Tachypnea and Alveolar Hemorrhage in an Infant: An Unexpected Etiology |
| title_full | Persistent Tachypnea and Alveolar Hemorrhage in an Infant: An Unexpected Etiology |
| title_fullStr | Persistent Tachypnea and Alveolar Hemorrhage in an Infant: An Unexpected Etiology |
| title_full_unstemmed | Persistent Tachypnea and Alveolar Hemorrhage in an Infant: An Unexpected Etiology |
| title_short | Persistent Tachypnea and Alveolar Hemorrhage in an Infant: An Unexpected Etiology |
| title_sort | persistent tachypnea and alveolar hemorrhage in an infant an unexpected etiology |
| url | http://dx.doi.org/10.1155/2016/3168257 |
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