Plastic bronchitis in a 5-year-old boy causing asystoly and fatal outcome
| Autor: | Philippe G. Jorens, Dries Bongaerts, Bert Suys, Marloes Luijks, Eric Van Marck, Marek Wojciechowski |
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| Rok vydání: | 2009 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Respiratory arrest Autopsy Fatal Outcome Bronchoscopy Immunology and Allergy Medicine Humans Respiratory system Bronchitis Pathological Asthma medicine.diagnostic_test business.industry medicine.disease Respiration Disorders Surgery Heart Arrest Diarrhea Upper respiratory tract infection Child Preschool Pediatrics Perinatology and Child Health Human medicine Lymph Nodes medicine.symptom business |
| Zdroj: | Journal of asthma |
| ISSN: | 1532-4303 0277-0903 |
| Popis: | Here we present the case of a 5-year-old boy who experienced a prehospital cardiac arrest after a period of wheezing, upper respiratory tract infection, and diarrhea. After successful resuscitation, ventilation was initially extremely difficult for no obvious reason. Various bronchodilatatory therapies were started with only limited result. Diagnosis of plastic bronchitis was made after bronchoscopy and at autopsy when therapy was withdrawn in view of the absence of cerebral circulation. A thickened basal membrane, a specific hallmark of asthma, was also present. Cardiac arrest in plastic bronchitis due to inflammatory and allergic disease is very rare. Pathological examination of the cast showed a mucinous cast with neutrophilic granulocytes, which is also seldom seen. This case illustrates that the diagnosis of plastic bronchitis can be extremely difficult if only minor respiratory symptoms occur. This resulted in a delayed diagnosis and fatal outcome. |
| Databáze: | OpenAIRE |
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