Wheezing and cough are common case scenarios that pediatricians encountered in their office practices. Although a bronchogenic\ncyst is an uncommon condition, it is essential to be considered in the differential diagnosis of a chronic cough and wheezing\namong young children who fail to respond to appropriate medical treatment. A 28-month-old girl was referred to our pediatric\npulmonology clinic with persistent symptoms of a cough and wheeze unresponsive to standard asthma therapy. This presentation\nprompted us to undertake a detailed diagnostic evaluation. The evaluation exposed a cystic mass in the middle mediastinum\ncompressing the trachea and left main bronchus. The cyst was excised and confirmed pathologically to be a benign bronchogenic\ncyst. Subsequently, the patient recovered well and had been free of respiratory symptoms during follow-up visits. This report\nhighlights one of the rare causes of wheezing and cough in young children and emphasizes the importance of considering it in the\ndifferential diagnosis of a child presenting with refractory asthma-like symptoms. This is important for early diagnosis and\nmanagement and to avoid unpredictable complications of this treatable condition.
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