AI Article Synopsis
- A 55-year-old man developed severe bronchial casts after surgery to repair a trachea-esophageal fistula.
- The casts were treated using bronchoscopic removal, steroids, antibiotics, and antifungals, but the condition worsened quickly.
- Despite five bronchoscopic procedures within two days, the patient’s health deteriorated rapidly and he ultimately passed away due to inflammation.
Article Abstract
We present the case of a 55-year-old man who developed extensive occlusive bronchial casts after trachea-esophageal (TE) fistula repair. The bronchial casts were treated by bronchoscopic extraction, high dose steroids, antibiotics, and antifungals. Despite this multi-modality treatment, the rapid formation of these occlusive bronchial casts was very aggressive and could not be controlled even with a series of five rigid bronchoscopic extractions within a 48-hour period. The patient quickly deteriorated and succumbed to the inflammatory state. The multiple factors that might have led to the patient's bronchial cast formation are discussed.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5059329 | PMC |
| http://dx.doi.org/10.21037/jtd.2016.09.07 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Morphological and Histological Studies of the Bronchial and Parabronchial System of the White Pekin Duck (Anas platyrhynchos).
J Exp Zool A Ecol Integr Physiol
November 2024
Department of Anatomy and Embryology, Faculty of Veterinary Medicine, Damanhour University, Damanhour, Egypt.
The present study aimed to provide comprehensive morphological features of the bronchial and parabronchial systems using cast, histological, histochemical, and scanning electron microscopy techniques, with new insights into the parabronchial topographic distribution system on 22 white Pekin ducks. Casting illustrated that the medioventral secondary bronchi (MVSB) were the largest, but the posterior (POSB) ones were the smallest. The primary (PB) and secondary bronchi (SB) were lined with thin pseudostratified, ciliated columnar epithelium.
View Article and Find Full Text PDFPlastic bronchitis in an adult.
Respirol Case Rep
November 2024
Northwest Lung Centre, Wythenshawe Hospital Manchester University NHS Foundation Trust Manchester UK.
Plastic bronchitis is rare in adult pulmonology and has a wide range of aetiology. Cast analysis is key in narrowing down the differential diagnosis of plastic bronchitis. If suspected of having lymphocytic PB, complete imaging to evaluate thoracic lymphatics is important to find out the potential causes for PB.
View Article and Find Full Text PDFTigecycline combined with bronchoscopic interventions in the treatment of macrolide-unresponsive pneumonia: A case report.
Heliyon
November 2024
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, 430030, China.
(MP) is a common etiological agent of community-acquired pneumonia. However, there has been an increasing incidence of macrolide-unresponsive pneumonia (MUMPP) in recent years. The treatment of MUMPP requires further investigation.
View Article and Find Full Text PDFPlastic bronchitis linked to human bocavirus 1 identified through high-throughput next-generation sequencing: A case report.
Medicine (Baltimore)
September 2024
Department of Pediatric, Liaocheng People's Hospital, Liaocheng, China.
Background: Plastic bronchitis (PB) is an uncommon and severe acute respiratory ailment characterized by the formation of casts in the trachea or bronchial tree. Some instances have been linked to human bocavirus (HBoV) infections.
Case Presentation: In this report, we present a case of PB secondary to HBoV1 infection in a previously healthy pediatric patient.
Distinct clinical characteristics of bocavirus and Mycoplasma pneumoniae infection in children plastic bronchitis.
Immun Inflamm Dis
August 2024
Department of Respiratory, Tianjin Children's Hospital (Children's Hospital, Tianjin University), Tianjin Pediatric Research Institute, Tianjin Key Laboratory of Birth Defects for Prevention and Treatment, Tianjin, China.
Background: This study investigated clinical and laboratory characteristics of human bocavirus type 1 (HBoV1)-plastic bronchiolitis (PB), Mycoplasma pneumoniae (MP)-associated plastic bronchitis (PB) and MP-NPB in children, highlighting inflammation, coagulation, and bronchoscopic needs.
Methods: Data on preschool children with PB during HBoV1 or MP infection were collected, comparing MP-PB to severe Mycoplasma pneumoniae pneumonia.
Result: Compared with the MP-PB group, the HBoV1-PB group, with younger children, had significantly milder clinical symptoms but higher WBC counts (p = .
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!