https://orcid.org/0000-0003-3544-4376
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Andrew S Handel, James Davis, Joshua Glass, Laura Hogan, Susan Schuval, Christy Beneri, A 4-Year-Old Boy With Prolonged Cough and Fever, Journal of the Pediatric Infectious Diseases Society, Volume 9, Issue 1, March 2020, Pages 92–95, https://doi.org/10.1093/jpids/piaa005
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CASE PRESENTATION
A 4-year-old boy with mild, persistent asthma and seasonal allergic rhinitis presented to the pediatric infectious disease ambulatory office for evaluation of 2 months of nonproductive cough and intermittent low-grade fevers. He had been admitted to the hospital 6 weeks prior with bacterial pneumonia and an asthma exacerbation, which were treated with ampicillin and 5 days of oral corticosteroids. His symptoms had improved at the time of discharge, but he then developed a persistent nonproductive cough and intermittent fevers. During the following weeks, he was prescribed inhaled corticosteroids, fluconazole for oral thrush, and 4 additional antibiotic courses (cefdinir, amoxicillin-clavulanate, and 2 courses of azithromycin) by various healthcare providers, without improvement.
The patient had a history of respiratory infections, with 4 prior admissions for asthma exacerbations and bacterial pneumonia. He also had recurrent acute otitis media that resolved with adenotonsillectomy. He lives in suburban Long Island, New York, with his parents and 2 older sisters, all of whom are healthy and with no known consanguinity. They live in a wooded area, but he remains mostly indoors due to allergic symptoms. He was born in the United States and has never traveled outside of Long Island. His grandmother visits annually from El Salvador. Immunizations were up to date through and including his 4-year vaccines.
