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A previously healthy adolescent with evolving infiltrates and progressive respiratory distress
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  1. W A Gower1,
  2. J M Collaco1,
  3. C L Ellis2,
  4. A C Halbower3,
  5. P J Mogayzel1
  1. 1
    Eudowood Division of Pediatric Respiratory Sciences, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA
  2. 2
    Department of Pathology, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA
  3. 3
    The Children’s Hospital and University of Colorado, Aurora, Colorado, USA
  1. Dr A Gower, Eudowood Division of Pediatric Respiratory Sciences, The Johns Hopkins Medical Institutions, 200 North Wolfe Street, Rubenstein Building 3075, Baltimore, MD 21287–2533, USA; agower3{at}jhmi.edu

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CLINICAL PRESENTATION

A 14-year-old boy was transferred to our paediatric referral centre with a 1-day history of worsening respiratory distress. He had initially presented to a community hospital complaining of dyspnoea, cough and emesis, and was treated with antibiotics and methylprednisolone prior to transfer. He was taking no other medications and his history was notable only for mild wheezing as …

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