An Uncommon Cause for a Preschool Child's Chronic Cough

Beverly P. Giordano, MS, RN, CPNP, PMHS; Sanjeev Y. Tuli, MD; Sonal S. Tuli, MD; Karin Reuter-Rice, PhD, CPNP-AC, FCCM; Terea Giannetta, DNP, RN, CPNP

Disclosures

J Pediatr Health Care. 2014;28(3):267-271. 

In This Article

Review of Systems

The mother noted that the child had had a "raspy" voice since birth. The child's appetite had been slightly decreased for several weeks before this office visit, but her activity level was normal. She had occasional posttussive emesis. Fever had been documented only on the first day of this 2-month cough. The child was thought to have "wheezing" and noisy respirations, particularly at night. The T & A had little effect on the wheezing or noisy nocturnal respirations. The child had a negative history for significant respiratory distress, persistent dysphagia, malodorous stools, or growth failure. She had a positive history of allergies to chicken, corn products, mold, peanuts, soybeans, and amoxicillin.

The child had a long history of snoring and very loud daytime respirations. A polysomnogram obtained before the T & A revealed moderate OSA. No postoperative polysomnogram had been performed. She had no symptoms to suggest other causes of chronic childhood cough (e.g., asthma, gastroesophageal reflux, cystic fibrosis, retained airway foreign body, ciliary dyskinesia syndrome, aspiration, pertussis, tracheoesophageal fistula, airway polyps, tumor, habit cough, or Tourette syndrome).

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