A previously healthy 4-month-old African American boy was hospitalized for bronchiolitis. He presented with cough and runny nose, with large mucus production for 3 weeks and wheezing for 2 days. During this time, he was also noticed to have developed hoarseness of voice and a barely audible, weak cry. He had also been choking and gagging on feeds, with decreased oral intake over the previous week. He was vomiting off and on and had become very irritable. He did not have a fever or diarrhea, but his stools were yellow and frothy. He was treated with cool mist, nebulized albuterol, intravenous fluids, and nasogastric tube feedings.
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