Focal Stenosis in Right Upper Lobe Bronchus in a Recurrently Wheezing Child Sequentially Studied by Multidetector-row Spiral Computed Tomography and Scintigraphy

Autor: I-Chen Chen, Jiunn-Ren Wu, Chia-Ying Lu, Chien-Ming Tseng, Jong-Hau Hsu, Zen-Kong Dai
Jazyk: angličtina
Rok vydání: 2009
Předmět:
Zdroj: Kaohsiung Journal of Medical Sciences, Vol 25, Iss 12, Pp 680-684 (2009)
Druh dokumentu: article
ISSN: 1607-551X
DOI: 10.1016/S1607-551X(09)70575-3
Popis: Lower respiratory tract infections associated with wheezing are not uncommon in infants and young children. Among the wheezing-associated disorders, allergic etiologies are more commonly encountered than anatomic anomalies. We present a 3-year-old girl with a sudden attack of asthmatic symptoms including dyspnea, cyanosis and diffuse wheezing. Based on a history of choking, and atelectasis in the right upper lobe detected by chest films, flexible tracheobronchoscopy was arranged and incidentally detected a stenotic orifice in the right upper lobe bronchus. Multidetector-row spiral computed tomography and pulmonary scintigraphy subsequently also disclosed the focal stenosis. She suffered from recurrent wheezing, pneumonia and lung atelectasis during 1 year of follow-up. We emphasize the diagnosis, clinical course and management of focal stenosis in the right upper lobe bronchus.
Databáze: Directory of Open Access Journals