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Medicine General 59dc01ea

A 71/2 months old child with cough, mild stridor is staed on oral antibiotics. The child showed initial improvement but later developed wheeze, productive cough, and mild fever. X-ray shows hyperlucency and PFT shows an obstructive curve. The most probable diagnosis is,

A
Bronchiolitis obliterans
B
Post viral syndrome
C
Pulmonary alveolar microlithiasis
D
Follicular bronchitis
High-Yield Explanation
Answer is A (Bronchiolitis obliterans): The patient in question is presenting with charachteristic features of bronchiolitis obliterans. Fever, cough, and wheeze are common clinical features of bronchiolitis obliterans and a period of initial improvement may well be seen in cases of bronchiolitis obliterans (Initial sign of B.0). Hyperluscency or chest X-Ray and obstructive curve on pulmonary function tests fuhur suggest the diagnosis of bronchiolitis obliterans.

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