A six-year-old boy was referred for recurrent bilateral earaches and self-limiting paroxysms of coughing and grunting for the last three months. He was apparently normal between the episodes. There was no fever, ear discharge, dysphagia or a history suggestive of asthma. Past medical history His past medical history was uneventful except for having received two courses of empirical antibiotics for suspected otitis media.
Immunization, developmental history, and anthropometry were appropriate for his age. The oral examination, systemic examination, indirect laryngoscopy and otoscopic examinations were normal. Clinical examination His baseline investigations were normal and he did not respond to antireflux medications. The boy was brought again by the mother who complained that he was regurgitating tiny yellowish-white foul smelling ‘worm eggs’ for the last few days and was having bad…
