Occasionally an H-type tracheoesophageal fistula may present in the first month of life or later with recurrent pneumonia, respiratory distress after feedings, and problems in clearing mucus. Tracheal stenosis may present initially with noisy breathing or a high-pitched cry and tremendous respiratory difficulty even after mild upper respiratory infections. Similarly, neonates with chronic respiratory insufficiency, such as bronchopulmonary dysplasia, may present in respiratory failure even after mild upper respiratory infections.3 34
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