Young Child in Respiratory Distress

A 2-year-old girl presented with acute respiratory distress. On admission, she was alert but with severe dyspnea. Her temperature was 38.2°C (100.7°F), respiratory rate 64 breaths/min, and oxygen saturation 87% on room air. Pulmonary examination revealed bilateral decreased breath sounds and expiratory wheezing. Despite aggressive therapy with nebulized and intravenous albuterol and systemic steroids, dyspnea and decreased breath sounds in the right lung field persisted. A chest radiograph was obtained (Figure 1).

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