Swyer-James syndrome in a 7-year-old female

Swyer-James syndrome is a rare syndrome that occurs as a result of repeated bronchiolitis and pneumonitis in childhood. Most cases are asymptomatic, and subsequent diagnosis may not occur until adulthood. We present the case of a 7-year-old female with Swyer-James syndrome, which was initially diagnosed and treated as asthma. The patient developed respiratory distress and atelectasis which were treated with biphasic cuirass ventilation. This case suggests that Swyer-James syndrome should be a concern in patients with chronic cough and wheezing, and highlights the importance of taking a careful history and appropriate radiological investigations for diagnosis. Once Swyer-James syndrome is diagnosed, prophylaxis and appropriate management of respiratory infections becomes important.

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Chronic Cough

Pediatrics in Review ◽

10.1542/pir.16.2.72 ◽

1995 ◽

Vol 16 (2) ◽

pp. 72-73

Author(s):

Jeffrey M. Ewig

Keyword(s):

Chronic Cough ◽

Viral Infections ◽

Respiratory Infections ◽

Defense System ◽

Careful History

Cough is a reflex that protects the lungs from aspirating food or inhaling irritants. It is a key component of the nonimmune pulmonary defense system. The cough that accompanies most common respiratory infections usually resolves in 7 to 10 days and rarely is a cause of concern. The patient who has frequent viral infections may complain of a "chronic" cough, but a careful history will reveal a shorter duration of repetitive episodes with coughs resolving completely in between infections. Chronic cough usually is defined as lasting for more than 3 to 4 weeks. Chronic cough is a symptom, not a diagnosis, and the underlying cause should be ascertained.

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Fifteen-minute consultation: A structured approach to the management of chronic cough in a child

Archives of Disease in Childhood - Education and Practice ◽

10.1136/archdischild-2017-313496 ◽

2017 ◽

Vol 103 (2) ◽

pp. 65-70 ◽

Cited By ~ 1

Author(s):

Cherry Alviani ◽

Gary Ruiz ◽

Atul Gupta

Keyword(s):

Chronic Cough ◽

Respiratory Infections ◽

School Attendance ◽

Underlying Disease ◽

Acute Respiratory Tract Infection ◽

Healthy Children ◽

Foreign Materials ◽

Structured Approach

Coughing is a primary pulmonary defence mechanism that enhances clearance of secretions and particles from the airways and protects against aspiration of foreign materials. Coughing may affect 30% of children at any given time (1). Many are healthy children but some may have serious underlying disease. Childhood cough accounts for a large number of consultations and 80% of families who are referred to a paediatric respiratory clinic for chronic cough have sought medical advice five times or more (2). The majority of childhood coughs are secondary to an acute respiratory tract infection and will improve once the infection resolves, usually within 1 to 3 weeks. With pre-school children who may experience between 6 and 10 respiratory infections a year differentiating acute recurrent cough from chronic cough is key (Table 1). Chronic cough can significantly impact a family’s quality of life, as it affects the child’s sleep, school attendance and play. Parents experience distress and anxiety, worrying that the cough may lead to long-term chest damage or even death (3). This article aims to guide clinicians through the assessment of the child with a chronic cough. It will discuss identifying causes, use of first line investigations, initiating appropriate management and addressing parental anxiety and exacerbating factors (4,5).

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Use of extracorporeal life support to support patients with acute respiratory distress syndrome due to H1N1/2009 influenza and other respiratory infections

Perfusion ◽

10.1177/0267659110383342 ◽

2010 ◽

Vol 26 (1) ◽

pp. 7-20 ◽

Cited By ~ 15

Author(s):

Ivan Wong ◽

Alain Vuylsteke

Keyword(s):

Acute Respiratory Distress Syndrome ◽

Respiratory Distress Syndrome ◽

Respiratory Distress ◽

Distress Syndrome ◽

Life Support ◽

Respiratory Infections ◽

Extracorporeal Life Support

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Chilaiditi syndrome in a patient with urological problems: Incidental diagnosis on computed tomography

Canadian Urological Association Journal ◽

10.5489/cuaj.165 ◽

2012 ◽

Vol 6 (2) ◽

Author(s):

Cevahir Özer ◽

Seda Zenger

Keyword(s):

Computed Tomography ◽

Small Intestine ◽

Abdominal Pain ◽

Respiratory Distress ◽

Incidental Diagnosis ◽

Rare Syndrome ◽

Chilaiditi Syndrome ◽

Chilaiditi’S Syndrome ◽

Chilaiditi's Syndrome

A rare syndrome, Chilaiditi’s syndrome is interposition of the colon only or with the small intestine in hepatodiaphragmatic area. It may be asymptomatic, but it may also present with symptoms, such as abdominal pain, nausea, vomiting, constipation and respiratory distress. We present a patient who was admitted with urological problems; he was incidentally diagnosed with Chilaiditi’s syndrome

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Positive Bronchoalveolar Lavage Pepsin Assay Associated with Acute Viral and Fungal Respiratory Infections in Children with Chronic Cough

10.1164/ajrccm-conference.2019.199.1_meetingabstracts.a1182 ◽

2019 ◽

Author(s):

C.N. Martin ◽

Z. Barnawi ◽

E. Chorvinsky ◽

A. Alyami ◽

D. Pillai ◽

...

Keyword(s):

Bronchoalveolar Lavage ◽

Chronic Cough ◽

Respiratory Infections

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Human herpesviruses respiratory infections in patients with acute respiratory distress (ARDS)

Medical Microbiology and Immunology ◽

10.1007/s00430-016-0456-z ◽

2016 ◽

Vol 205 (4) ◽

pp. 371-379 ◽

Cited By ~ 5

Author(s):

Manuela Bonizzoli ◽

Rosaria Arvia ◽

Simona di Valvasone ◽

Francesco Liotta ◽

Krystyna Zakrzewska ◽

...

Keyword(s):

Respiratory Distress ◽

Respiratory Infections ◽

Human Herpesviruses

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A 64-year-old man with chronic cough and recurrent respiratory infections

Respiratory Medicine CME ◽

10.1016/j.rmedc.2009.03.005 ◽

2010 ◽

Vol 3 (2) ◽

pp. 103-105

Author(s):

Welmoed Reitsma ◽

Martin J. Visser ◽

Folgert de Vries ◽

Peter van Hengel

Keyword(s):

Chronic Cough ◽

Respiratory Infections ◽

Recurrent Respiratory Infections

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Surgical Resection of Tracheal Diverticulum with Haemoptysis as Unusual Presentation

Case Reports in Surgery ◽

10.1155/2019/3828197 ◽

2019 ◽

Vol 2019 ◽

pp. 1-3

Author(s):

Leonardo Toscano ◽

Daniel Terra ◽

Siul Salisbury ◽

Nicolas Arechavaleta

Keyword(s):

Surgical Resection ◽

Chronic Cough ◽

Respiratory Infections ◽

Surgical Excision ◽

Lateral Wall ◽

Recurrent Respiratory Infections ◽

Tracheal Diverticulum ◽

The Common ◽

The Right ◽

Rare Symptom

Tracheal diverticulum is defined as an air cyst located on the lateral wall, congenital or acquired. Most of them are asymptomatic, incidentally found on CT. The common symptoms are chronic cough, stridor, or recurrent respiratory infections. Asymptomatic diverticulum requires no treatment and managed conservatively while surgical excision is indicated in cases of local complications or symptom permanence. We report a case of tracheal diverticulum presented with haemoptysis, a rare symptom. The diagnosis was made with a CT that shows a 15 mm air image on the right lateral trachea wall. Due to symptoms’ persistence, we decide to perform surgery with a good outcome.

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