A 6-week-old male with a previous diagnosis of laryngomalacia who recently presented with increasing stridor, respiratory distress and wheezing. There has been no associated apnea or cyanosis. He had been feeding well with no vomiting or choking. He has had no fever. Initial CXR revealed no acute infiltrates. He received albuterol but had a minimal response. He was born at term via NSVD with 8 and 9 Apgars. No intubation required.
Mild respiratory distress was noted on his first day of life. A CXR revealed fluid within fissures. O2 sat on RA was 98%, so transient tachypnea of the newborn was initially suspected. On the second day of life, he was noted to have stridor. He was evaluated by ENT surgeon with a flexible bronchoscopy which revealed mild laryngomalacia. His condition improved and he was discharged home in stable condition that time. Family history: Father, 12 y.o.…
