A 16-year-old girl with a history of asthma and anemia was presented to the emergency department with complaints of left-sided abdominal pain and multiple incidents of emesis and fever for three consecutive days. She was unable to intake both liquids and solids. She had been breathing very fast and appeared pale. History The girl had pneumonia when she was 13 years old and was suffering from mild intermittent asthma for three years and was treated with inhaled albuterol twice weekly.
A similar episode of abdominal pain resolved without treatment six months ago. She reported that for the past year, she sometimes felt like she “couldn’t breathe” when swallowing and sometimes has had difficulty in swallowing solids. Physical examination and workup Her temperature observed to be 41.1°C (105.9°F) Heart rate: 176 beats per minute Respiratory rate: 40 breaths per minute Blood pressure:…
