Bronchial tree-shaped mucous plug in cystic fibrosis: imaging-guided management.
Respirol Case Rep
; 5(2): e00214, 2017 Mar.
Article
en En
| MEDLINE
| ID: mdl-28096997
ABSTRACT
We report the case of a 17-year-old boy with cystic fibrosis (CF) who presented with persistent cough; after starting intravenous antibiotics for Pseudomonas aeruginosa he underwent a computed tomography (CT) scan of the chest. CT revealed extensive consolidation in the right lower lobe with relative bronchus obstruction; the cause of bronchial obstruction was detected in the mediastinal window, corresponding to a bronchial tree-shaped, thick, tenacious mucous plug. This was extracted 48 h after unresponsive bronchial washing and endobronchial instillation of rhDNAse, using foreign-body forceps, with subsequent resolution of cough. This case, which is the second report of plastic bronchitis in CF, was resolved by mechanical removal of the mucous plug, suggesting that a careful observation of CT imaging may guide intervention aimed at resolution of atelectasis.
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Colección:
01-internacional
Base de datos:
MEDLINE
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En
Revista:
Respirol Case Rep
Año:
2017
Tipo del documento:
Article