An infant with a persistent cough and an unusual course of the nasogastric tube

A 10-month-old girl was transferred to us following a respiratory arrest. She had a 9-week history of paroxysmal coughing and became increasingly unwell with a presumed viral infection. On day 2 of her admission, nasogastric feeding was commenced due to risk of aspiration. Previous chest radiographs without a nasogastric tube had been undertaken locally. The supine anteroposterior chest radiograph (figure 1) shows a widened mediastinum with displacement of the …