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Case report of severe bronchial web-like stenoses after ‘surviving the unsurvivable’
BACKGROUND: There are few cases of multiple bronchial stenoses reported in the literature and none of the severity described here. The case is relevant due to its rareness, the pathophysiological insights derived, the successful interventional pulmonology strategies demonstrated, and as an example o...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604203/ https://www.ncbi.nlm.nih.gov/pubmed/31266473 http://dx.doi.org/10.1186/s12890-019-0873-z |
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author | Crowhurst, Thomas Lightfoot, Joshua Yeo, Aeneas Reddi, Benjamin Nguyen, Phan Whitford, Helen Holmes-Liew, Chien-Li |
author_facet | Crowhurst, Thomas Lightfoot, Joshua Yeo, Aeneas Reddi, Benjamin Nguyen, Phan Whitford, Helen Holmes-Liew, Chien-Li |
author_sort | Crowhurst, Thomas |
collection | PubMed |
description | BACKGROUND: There are few cases of multiple bronchial stenoses reported in the literature and none of the severity described here. The case is relevant due to its rareness, the pathophysiological insights derived, the successful interventional pulmonology strategies demonstrated, and as an example of a rare indication for high-risk lung transplantation. CASE PRESENTATION: A 47-year-old man developed multiple recurrent bronchial web-like stenoses five weeks after an episode of severe tracheo-bronchitis presumed secondary to a chemical inhalation injury which initially caused complete bilateral lung collapse necessitating veno-venous extracorporeal membrane oxygenation. The stenoses completely effaced bronchi in many locations causing severe type II respiratory failure requiring mechanical ventilation and bronchoscopic puncture / dilatation then ultimately bilateral lung transplantation. CONCLUSION: This very rare case highlights the morbid sequelae that can arise after catastrophic tracheobronchitis which now, in the era of extracorporeal membrane oxygenation, may be survivable in the short-term. |
format | Online Article Text |
id | pubmed-6604203 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-66042032019-07-12 Case report of severe bronchial web-like stenoses after ‘surviving the unsurvivable’ Crowhurst, Thomas Lightfoot, Joshua Yeo, Aeneas Reddi, Benjamin Nguyen, Phan Whitford, Helen Holmes-Liew, Chien-Li BMC Pulm Med Case Report BACKGROUND: There are few cases of multiple bronchial stenoses reported in the literature and none of the severity described here. The case is relevant due to its rareness, the pathophysiological insights derived, the successful interventional pulmonology strategies demonstrated, and as an example of a rare indication for high-risk lung transplantation. CASE PRESENTATION: A 47-year-old man developed multiple recurrent bronchial web-like stenoses five weeks after an episode of severe tracheo-bronchitis presumed secondary to a chemical inhalation injury which initially caused complete bilateral lung collapse necessitating veno-venous extracorporeal membrane oxygenation. The stenoses completely effaced bronchi in many locations causing severe type II respiratory failure requiring mechanical ventilation and bronchoscopic puncture / dilatation then ultimately bilateral lung transplantation. CONCLUSION: This very rare case highlights the morbid sequelae that can arise after catastrophic tracheobronchitis which now, in the era of extracorporeal membrane oxygenation, may be survivable in the short-term. BioMed Central 2019-07-02 /pmc/articles/PMC6604203/ /pubmed/31266473 http://dx.doi.org/10.1186/s12890-019-0873-z Text en © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Crowhurst, Thomas Lightfoot, Joshua Yeo, Aeneas Reddi, Benjamin Nguyen, Phan Whitford, Helen Holmes-Liew, Chien-Li Case report of severe bronchial web-like stenoses after ‘surviving the unsurvivable’ |
title | Case report of severe bronchial web-like stenoses after ‘surviving the unsurvivable’ |
title_full | Case report of severe bronchial web-like stenoses after ‘surviving the unsurvivable’ |
title_fullStr | Case report of severe bronchial web-like stenoses after ‘surviving the unsurvivable’ |
title_full_unstemmed | Case report of severe bronchial web-like stenoses after ‘surviving the unsurvivable’ |
title_short | Case report of severe bronchial web-like stenoses after ‘surviving the unsurvivable’ |
title_sort | case report of severe bronchial web-like stenoses after ‘surviving the unsurvivable’ |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604203/ https://www.ncbi.nlm.nih.gov/pubmed/31266473 http://dx.doi.org/10.1186/s12890-019-0873-z |
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