Plastic Bronchitis in a 4 Year-Old Boy Presenting with a Foreign Body Aspiration: A Rare Entity

		Home \| Contact
ISSN 2149-2042 e-ISSN 2149-4606

Volume : 39 Issue : 1 Year : 2024

Current Issue Archive Popular Articles Ahead of Print

Index

Membership

Applications

Plastic Bronchitis in a 4 Year-Old Boy Presenting with a Foreign Body Aspiration: A Rare Entity [Medeniyet Med J]

Medeniyet Med J. 2019; 34(2): 213-217 | DOI: 10.5222/MMJ.2019.39197

Plastic Bronchitis in a 4 Year-Old Boy Presenting with a Foreign Body Aspiration: A Rare Entity

Saniye Girit¹, Ebru Senol², Emel Eroglu², Dilek Ece³, Tamer Baysal⁴
¹Division of Pediatric Pulmonology, Department of Pediatrics. Medeniyet University Medical School Goztepe Educational and Research Hospital, Istanbul-Turkey
²Department of Pediatrics. University of Health Sciences Medical School Dr. Lutfi K�rdar Kartal Educational and Research Hospital, Istanbul-Turkey
³Department of Pathology. University of Health Sciences Medical School Dr. Lutfi K�rdar Kartal Educational and Research Hospital, Istanbul-Turkey
⁴Department of Radiology, University of Health Sciences Medical School Dr. Lutfi K�rdar Kartal Educational and Research Hospital, Istanbul-Turkey

Plastic bronchitis is a rare disease of pediatric age resulting from the fibrinous mucus plugs obstructing the airway. Plastic bronchitis can be secondary to many pulmonary and systemic diseases; but also idiopathic. It is an important entity because it can present with acute respiratory system failure symptoms like non-productive cough, dyspnea and wheezing mimicking foreign body aspiration. Here, we report a four year old boy diagnosed as plastic bronchitis by bronchoscopy.
4-year-old boy applied with cough and difficulty in breathing. He had wheezing and dyspnea in pyhsical examination and oxygen saturation was 92% without any other clinical and laboratory signs of infection. Chest X-ray and Computerized Tomography showed characteristics of foreign body aspiration. He was diagnosed as plastic bronchitis by flexible bronchoscopy and had full recovery after extraction of the plugs by aspiration in bronchoscopy session.
Plastic bronchitis is a rare entity of pediatric age which can be idiopathic. Patients who have respiratory failure resistant to conventional medical therapy; especially if they have radiologic signs of atelectasia of intraluminal blockage, should be evaluated with bronchoscopy.

Keywords: Child, plastic bronchitis, respiratory aspiration

Yabanc� Cisim Aspirasyonu Olarak Prezante Olan 4 Ya��nda Erkek �ocukta Plastik Bron�it: Nadir Bir Durum

Saniye Girit¹, Ebru Senol², Emel Eroglu², Dilek Ece³, Tamer Baysal⁴
¹�ocuk G��s Hastal�klar� Bilim Dal�, Medeniyet �niversitesi T�p Fak�ltesi G�ztepe E�itim ve Ara�t�rma Hastanesi, �stanbul T�rkiye
²�ocuk Sa�l�� ve Hastal�klar� Bilim Dal�. Sa�l�k Bilimleri �niversitesi Kartal Dr L�tfi K�rdar E�itim ve Ara�t�rma Hastanesi, �stanbul T�rkiye
³Patoloji Bilim Dal�, Sa�l�k Bilimleri �niversitesi Kartal Dr L�tfi K�rdar E�itim ve Ara�t�rma Hastanesi, �stanbul T�rkiye
⁴Radyoloji Bilim Dal�, Sa�l�k Bilimleri �niversitesi Kartal Dr L�tfi K�rdar E�itim ve Ara�t�rma Hastanesi, �stanbul T�rkiye

Plastik bron�it; hava yolunu t�kayan fibrin�z mukus plaklar� sonucunda olu�an, �ocukluk �a��nda nadir g�r�len bir hastal�kt�r. Bir�ok pulmoner ve sistemik hastal��a sekonder olabilece�i gibi idiyopatik de olabilir. Hasta, balgams�z �ks�r�k, dispne ve h��lt� ile yabanc� cisim aspirasyonunu taklit edecek �ekilde akut solunum yetmezli�i bulgular� ile ba�vurabilece�i i�in �nemli bir hastal�kt�r. Burada, bronkoskopi ile plastik bron�it tan�s� alan d�rt ya��ndaki hastam�z� sunuyoruz.
D�rt ya��nda erkek hasta �ks�r�k ve nefes almakta g��l�k �ikayetiyle getirildi. Fizik muayenede ronk�sler ve dispne mevcuttu, oksijen saturasyonu %92 idi. Klinik ve laboratuvar olarak ba�ka herhangi bir enfeksiyon bulgusu yoktu. G��s grafisinde ve bilgisayarl� tomografide yabanc� cisim aspirasyonuna ait �zellikler g�r�ld� ve hastaya bu �n tan� ile bronkoskopi yap�ld�. Bronkoskopide mukus plaklar�n g�r�lmesi ile plastik bron�it tan�s� alan hastada plaklar�n aspirasyonu sonras�nda tam iyile�me izlendi.
Plastik bron�it �ocukluk �a��nda nadir g�r�len bir durumdur. Medikal tedaviye diren�li solunum yetmezli�i bulgular� olan hastalar; �zellikle radyolojik olarak atalektazi veya intraluminal t�kan�kl�k bulgular� da varsa yabanc� cisim aspirasyonu yan�nda plastik bron�it de ak�lda tutularak bronkoskopi ile de�erlendirilmelidir.

Anahtar Kelimeler: �ocuk, plastik bron�it, solunum yolu aspirasyonu

Saniye Girit, Ebru Senol, Emel Eroglu, Dilek Ece, Tamer Baysal. Plastic Bronchitis in a 4 Year-Old Boy Presenting with a Foreign Body Aspiration: A Rare Entity. Medeniyet Med J. 2019; 34(2): 213-217

Corresponding Author: Saniye Girit, T�rkiye

TOOLS