A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from a rural clinic to your hospital with a 10-day history.

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Presentation transcript:

A Cough You are an intern examining a patient that is a 5 1/2-week-old male who was transferred from a rural clinic to your hospital with a 10-day history of choking spells. The child’s spells began with repetitive coughing and progressed to his turning red and gasping for breath. In the prior 2 days, he also had three episodes of vomiting in association with his choking spells. What do you do next?

The resident also asks you to take a nasopharyngeal swab

Clear Chest X-ray

-MMWR

Comparative Genome Hybridization

Bordetella phylogeny

Comparative Genome Hybridization

Comparative Genome Hybridization Gene content variation and structural differences in the LPS O-antigen biosynthesis region