ALTE and Feeding Intolerance as a Presentation of Double Aortic Arch
Many children who are admitted to pediatric hospitals with the chief complaint of apparent life-threatening event (ALTE) are, in fact, well appearing by the time the inpatient medical team evaluates the patient. This presents a diagnostic and therapeutic challenge. We describe a case of a six-month-...
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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/10.1155/2016/8475917 |
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author | Rekha Krishnasarma Liza Green Golan Mackintosh Francine Bynum |
author_facet | Rekha Krishnasarma Liza Green Golan Mackintosh Francine Bynum |
author_sort | Rekha Krishnasarma |
collection | DOAJ |
description | Many children who are admitted to pediatric hospitals with the chief complaint of apparent life-threatening event (ALTE) are, in fact, well appearing by the time the inpatient medical team evaluates the patient. This presents a diagnostic and therapeutic challenge. We describe a case of a six-month-old full-term female presenting with an ALTE and found to have a double aortic arch, a congenital anomaly that usually presents with a more progressive onset of symptoms such as chronic cough, positional stridor, and feeding difficulties. This case highlights the importance of maintaining a broad differential in a patient presenting with findings of tracheoesophageal pathology on clinical exam. |
format | Article |
id | doaj-art-e36ac61ad5984141885c193ebfa5196e |
institution | Kabale University |
issn | 2090-6803 2090-6811 |
language | English |
publishDate | 2016-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Pediatrics |
spelling | doaj-art-e36ac61ad5984141885c193ebfa5196e2025-02-03T01:03:49ZengWileyCase Reports in Pediatrics2090-68032090-68112016-01-01201610.1155/2016/84759178475917ALTE and Feeding Intolerance as a Presentation of Double Aortic ArchRekha Krishnasarma0Liza Green Golan Mackintosh1Francine Bynum2Department of Pediatrics at the Children’s Hospital of Los Angeles, Los Angeles, CA, USADepartment of Pediatrics at the Children’s Hospital of Los Angeles, Los Angeles, CA, USADepartment of Pediatrics at the Children’s Hospital of Los Angeles, Los Angeles, CA, USAMany children who are admitted to pediatric hospitals with the chief complaint of apparent life-threatening event (ALTE) are, in fact, well appearing by the time the inpatient medical team evaluates the patient. This presents a diagnostic and therapeutic challenge. We describe a case of a six-month-old full-term female presenting with an ALTE and found to have a double aortic arch, a congenital anomaly that usually presents with a more progressive onset of symptoms such as chronic cough, positional stridor, and feeding difficulties. This case highlights the importance of maintaining a broad differential in a patient presenting with findings of tracheoesophageal pathology on clinical exam.http://dx.doi.org/10.1155/2016/8475917 |
spellingShingle | Rekha Krishnasarma Liza Green Golan Mackintosh Francine Bynum ALTE and Feeding Intolerance as a Presentation of Double Aortic Arch Case Reports in Pediatrics |
title | ALTE and Feeding Intolerance as a Presentation of Double Aortic Arch |
title_full | ALTE and Feeding Intolerance as a Presentation of Double Aortic Arch |
title_fullStr | ALTE and Feeding Intolerance as a Presentation of Double Aortic Arch |
title_full_unstemmed | ALTE and Feeding Intolerance as a Presentation of Double Aortic Arch |
title_short | ALTE and Feeding Intolerance as a Presentation of Double Aortic Arch |
title_sort | alte and feeding intolerance as a presentation of double aortic arch |
url | http://dx.doi.org/10.1155/2016/8475917 |
work_keys_str_mv | AT rekhakrishnasarma alteandfeedingintoleranceasapresentationofdoubleaorticarch AT lizagreengolanmackintosh alteandfeedingintoleranceasapresentationofdoubleaorticarch AT francinebynum alteandfeedingintoleranceasapresentationofdoubleaorticarch |