Recurrent pneumonia in children — clinical case

Case summary

This toddler presents with recurrent pneumonia confined to the same lobe, which is the pattern that should immediately be treated as a structural lesion rather than bad luck with viruses. The essential clinical insight is that same-site recurrence points to a fixed local problem — a foreign body, a congenital malformation, or localised bronchiectasis — and that in a two-year-old with a peanut-eating coughing fit, an unwitnessed inhaled foreign body is the leading concern until bronchoscopy excludes it. ^{[1] [2]}