One month infant was suffering from fever and on assessment of the case, a possible lower respiratory infection (LRI) was thought of and antibiotics were about to be started parental. Suddenly, the child has gone in for apnoea at the house and rushed to the nursing home with a distance of 3 km with skin stimulation to keep the breathing going. After admission, supportive therapy given but the dyspnea was persisting and added to that seizures were coming and going on and of.
All possible causes were treated like pneumonia and also cardiac status assessed with ECG and X-ray chest since at that time echo was not available. Electrolytes tested with results coming after two days. Suddenly infant developed hematemesis and so Ryle's tube was inserted via the nose and to everybody's surprise there was a big plug came out from aspiration of the stomach and the symptoms subsided including…