Child begins to open his eyes and move purposefully. Respirations continue to be labored, but RR is down to 60 breaths per minute. Crackles are now appreciated at the lung bases. No murmur or S3. CXR is normal, no infiltrates or cardiomegaly.
Abdominal film is normal.
Ileocecum is well visualized. Child is admitted to the PICU, where he develops ARDS and respiratory failure over the next six hours. Child is mechanically ventilated for 3 weeks. The only pathogen identified was Rotavirus in the stool. Outcome - Child has a completely intact survival.