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Miscellaneous
Cystic fibrosis presenting as acute upper airway obstruction
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A 2 year old girl undergoing investigation for recurrent respiratory infections and failure to thrive presented acutely with neck and face swelling, tongue protrusion, and extreme difficulty in breathing. Examination showed extensive surgical emphysema over her chest, neck and face confirmed on the chest radiograph, which also revealed a pneumomediastinum (fig 1). While being prepared for emergency …
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Competing interests: none declared.