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Cystic fibrosis presenting as acute upper airway obstruction
  1. J Davies1,
  2. R Chaudry1,
  3. J LaRovere2,
  4. D Hansell3,
  5. M Dawson4,
  6. E Abrahamson4
  1. 1Department of Paediatric Respiratory Medicine, Royal Brompton Hospital, London, UK
  2. 2Paediatric Intensive Care, Royal Broupton Hospital, London, UK
  3. 3Department of Radiology, Royal Brompton Hospital, London, UK
  4. 4Paediatric Emergency Medicine, Chelsea & Westminster Hospital, London, UK
  1. Correspondence to:
    Dr J Davies
    Department of Paediatric Respiratory Medicine, Royal Brompton Hospital, London SW3 6LR, UK; j.c.davies{at}ic.ac.uk

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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.