Case 34512

Abstract

Presentation of Case First admission. A thirteen-year-old girl was admitted to the hospital complaining of a dry, persistent cough.At the onset of the dry cough three years before admission nasal polyps were found. The cough continued following polypectomy. Several months later her tonsils and adenoids were removed, as were recurrent nasal polyps, without improving the chronic cough. Ten weeks before admission the cough became severe and was accompanied by large amounts of greenish-yellow, foul-smelling sputum. Vomiting followed severe paroxysms of coughing. She complained of headache and abdominal pain. She lost 13 pounds during this period. Five days before admission . . .