Anushya, a 7-month-old girl presented with chronic wet cough for 2 months
- Worsening chesty cough past 3 days
- Associated with high grade fever
- Rapid breathing and chest indrawing for 1 month
Birth history
Born full term via SVD, birth weight: 2.75 kg
Meconium plug syndrome: She presented with delay in passing meconium
Birth history
Dietary history
Reduced milk intake for the past 1 month
Feeding time interrupted by rapid breathing and cough, with excessive sweating
Poor weight gain: 5kg at 7 months of age
Bowel opening 4 - 5 times/day, formed stool. Stool is oily* and difficult to clean.
Steatorrhoea: Oil in stool. Often difficult to clean and foul smelling; can be formed or loose stool