Acquired tracheoesophageal fistula in a pregnant patient with COVID-19 pneumonia on prolonged invasive ventilation.
| Autor: | Cuaño PMGM; Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines pmgvmina@gmail.com., Pilapil JCA; Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines., Larrazabal RJB; Department of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines., Villalobos RE; Division of Pulmonary Medicine, Department of Medicine, University of the Philippines Manila, Manila, Philippines. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2021 Aug 20; Vol. 14 (8). Date of Electronic Publication: 2021 Aug 20. |
| DOI: | 10.1136/bcr-2021-244016 |
| Abstrakt: | A previously healthy pregnant woman was diagnosed with COVID-19 pneumonia and was subsequently intubated. Throughout the course of her illness, the patient was treated for recurrent bouts of pneumonia. A high-resolution chest and neck CT scan confirmed the presence of a tracheoesophageal fistula (TEF), which may have been caused by the presence of the overinflated endotracheal cuff, prolonged steroid use, hypoxic injury and possible direct injury of the tracheal mucosa from COVID-19 itself. A temporising procedure, involving tracheostomy with an extended-length tracheal tube, was performed. Unfortunately, the patient succumbed to infection prior to definitive repair. This case highlights the importance of keeping a high index of suspicion for tracheal injury in patients who experience prolonged periods of intubation. It also underlies the high morbidity and mortality rate associated with TEF, although being a rare disease. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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