Diagnostic Dilemma

Is it asthma?

Author: Pediatric Oncall
A 9 months old boy born of third degree consanguineous marriage presented with recurrent cold and cough (more in mornings) for one and a half months associated with fever. Every time he was treated with some oral medications but had to be admitted 15 days ago and was treated with IV antibiotics, nebulization and oral steroids. He was discharged on salbutamol metered dose inhaler (MDI) therapy, but there is no improved. There is no history of contact with tuberculosis or family history of asthma. On examination, child has tachypnea with respiratory rate of 34/min with subcostal retractions and continuously keeps mouth open, has congested nose. There are no rhonchi. Tonsils are normal.

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