Educational Objective 92 relates to appropriate recognition and management of hyperventilation syndrome. The evaluation largely deals with psychological causes in adolescents. The following case reminds us of another very common cause of hyperventilation, especially in young children.
The patient is a 2½-year-old boy who was referred because of hyperventilation. He had been well until two weeks before admission when he developed a fever. Four days before admission the child developed ulcers in his mouth. He had a low fever, and two days before admission the mother gave the child 16 grains of aspirin throughout the day, four 1-grain aspirins at a time, four times a day.