Case reports

Two cases of unusual airway pathology, in which a careful history contributed to a successful diagnosis

S T Hlophe, R Masekela

Abstract


Lower airway obstruction commonly presents with wheezing but is not always caused by asthma. Considering the case history and course of illness is of utmost importance in determining the cause of wheezing. We present two cases admitted to the paediatric intensive care unit, in which a double aortic arch was found to be the cause of wheezing. The cases illustrate the importance of a systematic approach when investigating a patient with persistent wheeze, especially when there is a poor response to conventional therapy.


Authors' affiliations

S T Hlophe, Department of Paediatrics and Child Health, Nelson R Mandela School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa

R Masekela, Department of Paediatrics and Child Health, Nelson R Mandela School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa

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Cite this article

African Journal of Thoracic and Critical Care Medicine 2018;24(4):145. DOI:10.7196/AJTCCM.2018.v24i4.221

Article History

Date submitted: 2018-12-18
Date published: 2018-12-20

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