Plastic bronchitis in a child with acute dyspnea and atelectasis: A case study

Authors

  • Kanokkarn Sunkonkit Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai
  • Hanpon Klibngern Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai
  • Pongsak Mahanupab Department of Pathology, Faculty of Medicine, Chiang Mai University, Chiang Mai
  • Sanit Reungrongrat Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai

Keywords:

plastic bronchitis, bronchial cast, children, atelectasis

Abstract

Plastic bronchitis is an uncommon pathologic cast formation in the tracheobronchial tree. A bronchial cast can cause a range of conditions ranging from mild to severe that can lead to airway obstruction.  We describe a previously healthy one-year-old boy who developed acute left lung atelectasis and respiratory distress due to plastic bronchitis.  He pre- sented with a high-grade fever and productive cough. His chest x-ray showed total left lung atelectasis. His condition did not rule out the presence of a foreign body in the airway or an obstruction due to secretion. Plastic bronchitis ob- structing the left main bronchus was diagnosed and removed by rigid bronchoscopy. Bronchoscopy was crucial in this case for both diagnosis and therapeutic cast removal; however, understanding of the regulation of mucus production and clearance is vital for the prevention of new secretion obstructions.

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Published

2020-01-01

How to Cite

1.
Sunkonkit K, Klibngern H, Mahanupab P, Reungrongrat S. Plastic bronchitis in a child with acute dyspnea and atelectasis: A case study. Chiang Mai Med J. [Internet]. 2020 Jan. 1 [cited 2022 Jan. 27];59(1):29-32. Available from: https://he01.tci-thaijo.org/index.php/CMMJ-MedCMJ/article/view/240528

Issue

Section

Case Report