An 11-year-old girl presented to the emergency department (ED) with respiratory distress and a rash. She has a history of poorly controlled moderate persistent asthma. History: Presented to ED just one day before with 102° F fever and severe abdominal pain at the right Diagnosed with community-acquired pneumonia and treated with oral antibiotics. After the initial dose of azithromycin, 6 hours later she developed an erythematous, lacy rash on her chest with periorbital swelling and notable dyspnea. Showed only mild improvement after the treatment of diphenhydramine, acetaminophen and albuterol nebulizer.
Returned to ED due to the persistence of her symptoms. The patient was noted with significant respiratory distress and 84% hypoxia on room air. After treating with albuterol-ipratropium nebulizer significant improvement in respiratory distress and dyspnea was observed. After albuterol…
