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An 11-month-old boy presented acutely with a 3-day history of fever, vomiting and diarrhoea. A background of recent gastroenteritis among family members was noted. On admission, the patient was lethargic, dehydrated and had tachypnoea; general examination was otherwise unremarkable.
A provisional diagnosis of viral gastroenteritis was made. However, the tachypnoea prompted …
Competing interests: None declared.