Bronchiectasis in children — clinical case

Case summary

This girl presents with the defining picture of chronic suppurative lung disease: a daily wet cough lasting six months that briefly improves with antibiotics but never clears, in a child who is never really well. The essential clinical insight is that a wet cough recurring after antibiotics is not a run of viruses but an airway that cannot clear itself, and with early digital clubbing, faltering growth, and a fixed focal chest sign she has crossed from ordinary recurrent illness into established suppurative disease heading toward bronchiectasis. ^{[1] [2]}