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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 on theme: "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."— Presentation transcript:

1 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?

2 The resident also asks you to take a nasopharyngeal swab

3 Clear Chest X-ray

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9 -MMWR

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11 Comparative Genome Hybridization

12 Bordetella phylogeny

13 Comparative Genome Hybridization

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


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