Mysterious Cause of Respiratory Failure and Multilobar Atelectasis in a 17-Month-Old Male
| Autor: | Grigory Charny, Gerrit W Davis, Casey J Lockett |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Pulmonary Atelectasis medicine.medical_treatment Atelectasis Tertiary Care Centers 03 medical and health sciences Extracorporeal Membrane Oxygenation 0302 clinical medicine Intubation Intratracheal medicine Extracorporeal membrane oxygenation Humans Eosinophilic esophagitis Pediatric intensive care unit Respiratory distress business.industry Public Health Environmental and Occupational Health Infant General Medicine medicine.disease Dysphagia Pneumonia 030228 respiratory system Respiratory failure Anesthesia 030211 gastroenterology & hepatology medicine.symptom Respiratory Insufficiency business |
| Zdroj: | Military Medicine. 185:e1329-e1333 |
| ISSN: | 1930-613X 0026-4075 |
| DOI: | 10.1093/milmed/usz459 |
| Popis: | A 17-month-old male presented to a community hospital emergency department in respiratory distress suggestive of reactive airway exacerbation or pneumonia. He rapidly deteriorated into fulminant respiratory failure with multilobar atelectasis. He was managed with continuous albuterol, intravenous antibiotics, corticosteroids, intubation, and vasopressors. He was then transported to a tertiary Children’s Hospital. The patient was extubated 20 hours after presentation and again developed respiratory failure while in the pediatric intensive care unit. During preparation for extracorporeal membrane oxygenation, he quickly stabilized following reintubation and bronchodilator therapy. He was extubated approximately 24 hours later, and subsequently discharged after a 9-day hospitalization. Outpatient investigation after discharge revealed dysphagia, milk allergy, and eosinophilic esophagitis. In this case, it is highly probable that aspiration secondary to dysphagia and eosinophilic esophagitis led to respiratory failure. This case demonstrates the possible rapid decompensation from aspiration due to insidious inflammation of the esophagus and dysphagia in an otherwise anatomically normal toddler. |
| Databáze: | OpenAIRE |
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