Spot Diagnosis

Recurrent cough

Question :
This child presented with recurrent cough for 2 years. On examination he had bilateral crepts. CT chest is depicted in the image.

What is the diagnosis and how to manage this patient?

Discussion :
CT chest shows bronchiectasis. One needs to find out cause of bronchiectasis in the child and also prevent complications due to the same. Common causes of bronchiectasis in children are post infections such as tuberculosis and pertussis, congenital large airway disease, foreign body, immunodeficiency such as antibody deficiency, cystic fibrosis, immotile cilia syndrome {especially if associated with otitis media}. The main treatment of bronchiectasis should be to maintain or improve pulmonary function, reduce exacerbations and have a normal quality of life. Patients should be taught airway clearance techniques and exercise. Antibiotic prophylaxis and treatment should be based on cultures and response to therapy.

Correct Answers : yes  16%

Last Shown : Jun 2013
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