Abstract
Presentation of Case Dr. Mark A. Goldstein (Pediatrics): A 16-year-old boy was seen in the adolescent medicine outpatient clinic of this hospital in late spring because of coughing spells. The patient had been well until approximately 3 weeks before the current presentation, when cough and nasal congestion developed and persisted, without fever or chills. He took fexofenadine hydrochloride, without improvement. Three days before the current presentation, he awoke at night with a severe coughing spell, with associated post-tussive emesis and trouble breathing. His parents took him to the emergency department of another hospital. On examination, he appeared to be in . . .
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