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A Rare Case of Idiopathic Plastic Bronchitis

Plastic bronchitis is a rare disorder characterized by formation of large, branching bronchial casts, which are often expectorated. We present an interesting case of a 35-year-old woman who presented for evaluation of a chronic cough productive of voluminous secretions. Clinical and radiological exa...

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Autores principales: Raoufi, Mohammed, Achachi, Leila, Mrabet, Fatima Zahra, Herrak, Laila, Ftouh, Mustapha El, Bourhroum, Najoua, Ouazzani Taibi, Nezha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5643106/
https://www.ncbi.nlm.nih.gov/pubmed/29098106
http://dx.doi.org/10.1155/2017/4789751
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author Raoufi, Mohammed
Achachi, Leila
Mrabet, Fatima Zahra
Herrak, Laila
Ftouh, Mustapha El
Bourhroum, Najoua
Ouazzani Taibi, Nezha
author_facet Raoufi, Mohammed
Achachi, Leila
Mrabet, Fatima Zahra
Herrak, Laila
Ftouh, Mustapha El
Bourhroum, Najoua
Ouazzani Taibi, Nezha
author_sort Raoufi, Mohammed
collection PubMed
description Plastic bronchitis is a rare disorder characterized by formation of large, branching bronchial casts, which are often expectorated. We present an interesting case of a 35-year-old woman who presented for evaluation of a chronic cough productive of voluminous secretions. Clinical and radiological examination confirmed a total left lung atelectasis without any pathological mediastinal node. Flexible bronchoscopy demonstrated tenacious, thick, and sticky whitish secretions blocking the left stem bronchus. This material was extracted, and inspection demonstrated a bronchial cast, whose pathological analysis revealed necrotic epithelial cells, some eosinophils, and Charcot-Leyden crystals. Two days after bronchoscopy, the patient rejected more bronchial casts, and dyspnea improved. Control of chest x-ray revealed complete left lung aeration and the diagnosis of idiopathic plastic bronchitis was obtained. This article shows the interest in clinical practice to evoke the diagnosis of plastic bronchitis in front of a productive chronic cough. Our case illustrates a rare clinical presentation represented by an atelectasis of an entire lung.
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spelling pubmed-56431062017-11-02 A Rare Case of Idiopathic Plastic Bronchitis Raoufi, Mohammed Achachi, Leila Mrabet, Fatima Zahra Herrak, Laila Ftouh, Mustapha El Bourhroum, Najoua Ouazzani Taibi, Nezha Case Rep Pulmonol Case Report Plastic bronchitis is a rare disorder characterized by formation of large, branching bronchial casts, which are often expectorated. We present an interesting case of a 35-year-old woman who presented for evaluation of a chronic cough productive of voluminous secretions. Clinical and radiological examination confirmed a total left lung atelectasis without any pathological mediastinal node. Flexible bronchoscopy demonstrated tenacious, thick, and sticky whitish secretions blocking the left stem bronchus. This material was extracted, and inspection demonstrated a bronchial cast, whose pathological analysis revealed necrotic epithelial cells, some eosinophils, and Charcot-Leyden crystals. Two days after bronchoscopy, the patient rejected more bronchial casts, and dyspnea improved. Control of chest x-ray revealed complete left lung aeration and the diagnosis of idiopathic plastic bronchitis was obtained. This article shows the interest in clinical practice to evoke the diagnosis of plastic bronchitis in front of a productive chronic cough. Our case illustrates a rare clinical presentation represented by an atelectasis of an entire lung. Hindawi 2017 2017-10-02 /pmc/articles/PMC5643106/ /pubmed/29098106 http://dx.doi.org/10.1155/2017/4789751 Text en Copyright © 2017 Mohammed Raoufi et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Raoufi, Mohammed
Achachi, Leila
Mrabet, Fatima Zahra
Herrak, Laila
Ftouh, Mustapha El
Bourhroum, Najoua
Ouazzani Taibi, Nezha
A Rare Case of Idiopathic Plastic Bronchitis
title A Rare Case of Idiopathic Plastic Bronchitis
title_full A Rare Case of Idiopathic Plastic Bronchitis
title_fullStr A Rare Case of Idiopathic Plastic Bronchitis
title_full_unstemmed A Rare Case of Idiopathic Plastic Bronchitis
title_short A Rare Case of Idiopathic Plastic Bronchitis
title_sort rare case of idiopathic plastic bronchitis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5643106/
https://www.ncbi.nlm.nih.gov/pubmed/29098106
http://dx.doi.org/10.1155/2017/4789751
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