This patient is a 5-year-old boy born at term (weight: 3140 g; height: 47 cm) who was mechanically ventilated after birth for 15 days and placed in the intensive care unit (ICU) for 23 days. He had tuberculosis at the age of 2 years and was prescribed antituberculosis drugs for 6 months. Until the age of 3 years, he had recurrent respiratory infections and underwent frequent hospitalizations. One year prior to this presentation, he underwent surgery for polydactyly and was in the ICU for a day. His present medical examination showed height and weight of 85 cm and 16 kg, respectively, and a normal mental status.

He had a long, narrow chest wall and bilateral short extremities. His respiratory examination showed normal results. Renal, hepatic, and ocular functions also were normal. Radiologic presentation showed a long and narrow thorax, short and horizontal costae, and bicycle…