1. Introduction
Neuroblastoma (NBL) is the most common extracranial solid tumor in childhood that derives from the neural crest and clinical symptoms vary depending on location, distal spread, and secreted metabolites of the tumors [1].
NBL is a special disease that occurs almost early in childhood. Neuroblastoma is formed from the abnormal differentiation of germinal cells at embryonic formation and organ formation. This is a disease of the nervous system that can be found throughout the body but usually found in the abdomen or the adrenal medulla. Neuroblastoma is a common renal cancer and is the fourth most common cancer encountered in children, accounting for 8-10% of all childhood malignancies [2]. Although there are considerable overlaps in symptoms at initial presentation such as abdominal distension, loss of appetite, nausea, or hypertension, children with neuroblastoma usually have a favorable outcome after treatment with chemotherapy and surgery [3]. Described herein was a case of a 10-month-old boy with neuroblastoma presented with increased work of breathing, rhinorrhea, and cough.