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American Academy of Pediatrics
Index of Suspicion

Case 4: Atypical Cause of Cyanosis While Bathing in an 18-month-old Boy

Rachel Maurice and Misty Ellsworth
Pediatrics in Review November 2018, 39 (11) 568-569; DOI: https://doi.org/10.1542/pir.2017-0159
Rachel Maurice
*Department of Pediatrics at McGovern Medical School, Memorial Hermann Children’s Hospital, Houston TX
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Misty Ellsworth
*Department of Pediatrics at McGovern Medical School, Memorial Hermann Children’s Hospital, Houston TX
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  1. Rachel Maurice, MD*
  2. Misty Ellsworth, DO*
  1. *Department of Pediatrics at McGovern Medical School, Memorial Hermann Children’s Hospital, Houston TX
  • AUTHOR DISCLOSURE

    Drs Maurice and Ellsworth have disclosed no financial relationships relevant to this article. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.

Presentation

An 18-month-old boy with a medical history of cyanotic episodes presents with possible seizure activity at child care. When he was 10 months old, 8 months before presentation, he began having periods when he would become limp and cyanotic for a minute. The episodes would occur when bathing. There was no eye deviation noted, or shaking of extremities. Initially the episodes occurred once per month but have become more frequent, now with each occurrence of bathing. He has presented to an outside hospital, and was evaluated with brain magnetic resonance imaging and electroencephalography (EEG), which, per report, were reassuring, and he was discharged with no medications to follow …

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Pediatrics in Review: 39 (11)
Pediatrics in Review
Vol. 39, Issue 11
1 Nov 2018
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Case 4: Atypical Cause of Cyanosis While Bathing in an 18-month-old Boy
Rachel Maurice, Misty Ellsworth
Pediatrics in Review Nov 2018, 39 (11) 568-569; DOI: 10.1542/pir.2017-0159

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Case 4: Atypical Cause of Cyanosis While Bathing in an 18-month-old Boy
Rachel Maurice, Misty Ellsworth
Pediatrics in Review Nov 2018, 39 (11) 568-569; DOI: 10.1542/pir.2017-0159
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