Recurrent bronchiolitis and stridor in an infant

A 4-month-old male with a medical history of late prematurity and two hospitalizations for viral bronchiolitis presented to the clinic for a new-patient well-child check. His previous hospitalizations for bronchiolitis did not present with hypoxia or respiratory distress, and he did not require any respiratory support. During further discussion, the parents reported that the patient had noisy breathing and congestion since birth. He often sounded “like he has something in his nose”. He had no history of fatigue, spit-up, or choking with feeds. He continued to formula-feed without difficulty and had appropriate weight gain. He was hospitalized for respiratory syncytial virus (RSV) bronchiolitis and rhinovirus bronchiolitis within a 2 week period at 3 months of age.

Read the Article