The presentation of a paediatric patient with shortness of breath can be a common occurrence in the pediatric population presenting to the emergency departments with the majority of the illnesses in paediatric population can be attributed to shortness of breath. Recognition of life-threatening illnesses in a pediatric patient presenting to the emergency can be a challenge and thus having a low threshold of suspicion. Early recognition and treatment can be crucial and life-saving with the involvement of the right teams and the appropriate disposition of patients. In this case, we share a rare cause of shortness of breath in a child presenting to the emergency department.