Abstract

A 14-year-old male initially presented to the Emergency Department (ED) for a chronic, persistent cough and chest pain with concurrent history of asthma and gastroesophageal reflux disease (GERD). He had been trialed on several medications before this visit for cough, without resolution of symptoms. Despite seeing several specialists after this ED visit and being evaluated for infectious causes and other pulmonary issues, he was eventually found to have eosinophilic esophagitis (EoE). It is not often that EoE is suspected based on cough alone, but with other GERD-like symptoms EoE should be considered.

Highlights

  • Chronic cough can have a long differential diagnosis

  • We present a male with chronic asthma who developed a new chronic cough

  • With 8 weeks of persistent cough, chest pain, and difficulty swallowing. He initially was evaluated at several outside facilities where he had tested negative for COVID-19 and started prednisone, azithromycin, and codeine cough syrup, and was given a steroid shot (Decadron)

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Summary

Introduction

Chronic cough can have a long differential diagnosis. We present a male with chronic asthma who developed a new chronic cough. Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations

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