Respiratory failure in spinal muscular atrophy: A case report and review of literature

Autor: V Vinay, Sushil Kumar Munjal, M N Dinesh Kanna, Sandeep Jain, Paras Verma, M Arunachalam
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Journal of Primary Care Specialties, Vol 4, Iss 1, Pp 28-31 (2023)
Druh dokumentu: article
ISSN: 2772-3615
2772-3623
DOI: 10.4103/jopcs.jopcs_18_22
Popis: Spinal muscular atrophy (SMA) type 2 is a neuromuscular disorder of childhood with high morbidity and mortality caused by the deletion of SMN1 gene (gene 1 of motor neuron survival), located at chromosome 5. It is the respiratory complications that account for the majority of deaths in SMA. This report describes an 18-year-old male patient diagnosed with SMA type 2, who had shortness of breath for 2 weeks and cough for 1 week. CT-Thorax revealed left lung collapse due to mucoid impaction in the left main bronchus. Bronchoscopy was challenging in this case due to severe kyphoscoliosis, and impacted mucus was extracted using bronchoscopy-guided forceps biopsy. Repeat X-ray of the chest following treatment showed no evidence of collapse, and patient was discharged in a stable condition with mucolytics and antibiotics.
Databáze: Directory of Open Access Journals