Unusual Presentation of Wheeze

This case report is regarding 6 yr old male child who presented with breathlessness, fever and cough which was worsening on presentation.

At the time of presentation skiagram of chest showed chest infiltrations and cardiomegaly with a respi. Rate of 54 cycle/min was stabilised on oxygen support and with medications, after few days child had increased respiratory distress, increased bilateral wheeze and peripheral cyanosis then 2D Echo was done s/o moderate PAH. Child was treated symptomatically and discharged after relieving of symptoms.