One problem case discussed by my old student Six-month-old baby born out of non-consanguineous marriage. Antenatal and postnatal period uneventful and her growth and development was normal till 13 days back. The whole event started with running nose low-grade fever, which was managed symptomatically. As the cough and dyspnea worsened. He was put on antibiotics orally, later became worse and was referred to him. A patient was admitted in PICU, ventilated. Clinical, radiological features were suggestive of bronchopneumonia. Blood culture came negative.
Baby responded well. Circulatory status normal, chest clear. Heart sounds normal, no cardiomegaly. He was stable on minimal settings on room air but could not be weaned from the ventilator. There was a family history of two siblings died at eight months in a similar manne r . One boy and one girl. His sensorium normal, eye movement normal…
