A 30 months-old-male with a history of recurrent pneumonia hospitalized for symptoms of cough, wheezing and hypoxemia. Past Medical History: His past history is significant for dysmorphic features at birth which led to a diagnosis of a 5p chromosomal deletion consistent with “Cri du Chat” syndrome. He had difficulty in the neonatal period due to recurrent choking episodes and a presumed poorly coordinated swallow. He was initially discharged on oral feedings; however, he developed several episodes of pneumonia and reactive airway disease, for which he received treatment.
At 15 months of age, an ambulatory evaluation for chronic aspiration was conducted because of recurrent wheezing. A modified barium swallow revealed mild dysfunction of the oral phase of swallowing with a delay in bolus transfer, especially evident with liquids. There was no pooling or aspiration noted. A nuclear…
