Non-resolving pneumonia in a young boy--beware of foreign body aspiration.

A 4 1/2-year-old boy presented with recurrent cough and cold of 2 years duration. Chest x-ray revealed collapse consolidation of right lower lobe. Rigid bronchoscopy was done and the nozzle of a pen was extracted from right main bronchus. The radiological improvement took three months after extraction of the foreign body. Undetected foreign body aspiration is one of the causes of nonresolving pneumonia in children.

A case of opsoclonus-myoclonus-ataxia with neuroblastoma.

A 2 year old boy presented with features of opsoclonus, myoclonus and ataxia. Routine investigations of blood, urine, x-ray chest, bone scan, EEG and MRI of brain, were normal. Urine for VMA was negative. A right suprarenal mass was detected at MRI of abdomen. The mass was resected completely and was found histologically to be of differentiating type of neuroblastoma. The child was treated initially with prednisolone for 6 weeks along with sodium valproate. He is still on sodium valproate for his neurological symptoms. His symptoms still persist though they have decreased in intensity.