Progressing subglottic and tracheobronchial stenosis in a patient with CHARGE syndrome diagnosed in adulthood
| Autor: | Yutaka Tomishima, Kazuhiro Fukasawa, Toshio Oyama, Takayuki Honda, Shinichi Shimomura, Yoshihiro Miyashita, Keiko Mitaka Komatsuzaki |
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| Rok vydání: | 2014 |
| Předmět: |
lcsh:RC705-779
Pulmonary and Respiratory Medicine medicine.medical_specialty Coloboma medicine.diagnostic_test business.industry Subglottic stenosis medicine.medical_treatment Turbinectomy Case Report lcsh:Diseases of the respiratory system medicine.disease Surgery Stenosis CHARGE syndrome Bronchoscopy Atresia medicine business Rare disease |
| Zdroj: | Respiratory Medicine Case Reports, Vol 12, Iss C, Pp 24-26 (2014) Respiratory Medicine Case Reports |
| ISSN: | 2213-0071 |
| Popis: | A 33-year-old woman was admitted for a pseudocroup-like cough and wheezing after general anesthesia. Several months ago, she had undergone cardiac re-operation and turbinectomy, both of which had involved difficult intubations. Bronchoscopy indicated a pin-hall-like subglottic stenosis; therefore, emergency tracheotomy was performed. Six years later, a computed tomography scan demonstrated progressive stenosis of the entire circumference of the trachea and main bronchi. She died at 40 years. Her autopsy revealed marked tracheobronchial stenosis. She had many medical histories that had gone undiagnosed and had been clinically ill with only heart defects. She did not have coloboma but had microphthalmos, atresia choanae, retarded growth development, and deafness; thus, we diagnosed CHARGE syndrome that refers to multiple congenital anomalies, including airway abnormalities, which can lead to secondary complications such as traumatic stenosis after intubation. Physicians should have knowledge of this rare disease and should pay special attention to potential airway problems. |
| Databáze: | OpenAIRE |
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