Cargando…
Tracheal Bronchus: A Rare Etiology of Recurrent Pneumonia in Children
Recurrent infections are a common cause for seeking medical care and they result in significant parental anxiety and concerns. Although immunodeficiency disorders are an important underlying cause of recurrent infections, the majority of children with recurrent infections do not have any dysfunction...
Autores principales: | , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8743048/ https://www.ncbi.nlm.nih.gov/pubmed/35028237 http://dx.doi.org/10.7759/cureus.20378 |
_version_ | 1784629825831436288 |
---|---|
author | Alqahtani, Saif A Alghamdi, Anwar M Babader, Rawan A Aljehani, Doaa A Alsultan, Razan K Mushari, Rawiah Y Alyahya, Maha Y Alajwad, Hawra I Alibrahim, Ahmad A Altukruni, Egbal B Alhasani, Reem N Mandurah, Arwa T Halabi, Yara A Alghamdi, Batool J Al-Hawaj, Faisal |
author_facet | Alqahtani, Saif A Alghamdi, Anwar M Babader, Rawan A Aljehani, Doaa A Alsultan, Razan K Mushari, Rawiah Y Alyahya, Maha Y Alajwad, Hawra I Alibrahim, Ahmad A Altukruni, Egbal B Alhasani, Reem N Mandurah, Arwa T Halabi, Yara A Alghamdi, Batool J Al-Hawaj, Faisal |
author_sort | Alqahtani, Saif A |
collection | PubMed |
description | Recurrent infections are a common cause for seeking medical care and they result in significant parental anxiety and concerns. Although immunodeficiency disorders are an important underlying cause of recurrent infections, the majority of children with recurrent infections do not have any dysfunction in their immune systems. We present the case of an 11-year-old boy who was brought to the outpatient department by his parents because of a complaint of productive cough for the last one week that was associated with low-grade fever. The patient had a history of frequent episodes of pneumonia. He developed three episodes of pneumonia within the last year. According to the parents, the patient was investigated previously for possible immunodeficiency disorders, but the findings did not reveal any abnormal results. His siblings are healthy and have no history of recurrent infections or immunodeficiency disorders. The vital signs were within the normal limits. The patient was treated empirically with the antibiotic course of amoxicillin. The patient was given a follow-up appointment one week later. In the follow-up visit, the patient had complete resolution of the infection. The parents expressed concern about their child having recurrent episodes of infections. The patient underwent a high-resolution CT scan of the thorax to rule out any structural abnormalities. The scan demonstrated the presence of an aberrant bronchus arising from the lateral wall of the trachea above the level of the carina and supplying the apical segment of the right upper lobe. This finding is often referred to as a “tracheal bronchus.” The tracheal bronchus is a rare congenital anomaly of the respiratory tract. It should be considered in the differential diagnosis of children with recurrent pneumonia with no infections in other organ systems to suggest immunodeficiency disorder. |
format | Online Article Text |
id | pubmed-8743048 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-87430482022-01-12 Tracheal Bronchus: A Rare Etiology of Recurrent Pneumonia in Children Alqahtani, Saif A Alghamdi, Anwar M Babader, Rawan A Aljehani, Doaa A Alsultan, Razan K Mushari, Rawiah Y Alyahya, Maha Y Alajwad, Hawra I Alibrahim, Ahmad A Altukruni, Egbal B Alhasani, Reem N Mandurah, Arwa T Halabi, Yara A Alghamdi, Batool J Al-Hawaj, Faisal Cureus Emergency Medicine Recurrent infections are a common cause for seeking medical care and they result in significant parental anxiety and concerns. Although immunodeficiency disorders are an important underlying cause of recurrent infections, the majority of children with recurrent infections do not have any dysfunction in their immune systems. We present the case of an 11-year-old boy who was brought to the outpatient department by his parents because of a complaint of productive cough for the last one week that was associated with low-grade fever. The patient had a history of frequent episodes of pneumonia. He developed three episodes of pneumonia within the last year. According to the parents, the patient was investigated previously for possible immunodeficiency disorders, but the findings did not reveal any abnormal results. His siblings are healthy and have no history of recurrent infections or immunodeficiency disorders. The vital signs were within the normal limits. The patient was treated empirically with the antibiotic course of amoxicillin. The patient was given a follow-up appointment one week later. In the follow-up visit, the patient had complete resolution of the infection. The parents expressed concern about their child having recurrent episodes of infections. The patient underwent a high-resolution CT scan of the thorax to rule out any structural abnormalities. The scan demonstrated the presence of an aberrant bronchus arising from the lateral wall of the trachea above the level of the carina and supplying the apical segment of the right upper lobe. This finding is often referred to as a “tracheal bronchus.” The tracheal bronchus is a rare congenital anomaly of the respiratory tract. It should be considered in the differential diagnosis of children with recurrent pneumonia with no infections in other organ systems to suggest immunodeficiency disorder. Cureus 2021-12-13 /pmc/articles/PMC8743048/ /pubmed/35028237 http://dx.doi.org/10.7759/cureus.20378 Text en Copyright © 2021, Alqahtani et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Emergency Medicine Alqahtani, Saif A Alghamdi, Anwar M Babader, Rawan A Aljehani, Doaa A Alsultan, Razan K Mushari, Rawiah Y Alyahya, Maha Y Alajwad, Hawra I Alibrahim, Ahmad A Altukruni, Egbal B Alhasani, Reem N Mandurah, Arwa T Halabi, Yara A Alghamdi, Batool J Al-Hawaj, Faisal Tracheal Bronchus: A Rare Etiology of Recurrent Pneumonia in Children |
title | Tracheal Bronchus: A Rare Etiology of Recurrent Pneumonia in Children |
title_full | Tracheal Bronchus: A Rare Etiology of Recurrent Pneumonia in Children |
title_fullStr | Tracheal Bronchus: A Rare Etiology of Recurrent Pneumonia in Children |
title_full_unstemmed | Tracheal Bronchus: A Rare Etiology of Recurrent Pneumonia in Children |
title_short | Tracheal Bronchus: A Rare Etiology of Recurrent Pneumonia in Children |
title_sort | tracheal bronchus: a rare etiology of recurrent pneumonia in children |
topic | Emergency Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8743048/ https://www.ncbi.nlm.nih.gov/pubmed/35028237 http://dx.doi.org/10.7759/cureus.20378 |
work_keys_str_mv | AT alqahtanisaifa trachealbronchusarareetiologyofrecurrentpneumoniainchildren AT alghamdianwarm trachealbronchusarareetiologyofrecurrentpneumoniainchildren AT babaderrawana trachealbronchusarareetiologyofrecurrentpneumoniainchildren AT aljehanidoaaa trachealbronchusarareetiologyofrecurrentpneumoniainchildren AT alsultanrazank trachealbronchusarareetiologyofrecurrentpneumoniainchildren AT musharirawiahy trachealbronchusarareetiologyofrecurrentpneumoniainchildren AT alyahyamahay trachealbronchusarareetiologyofrecurrentpneumoniainchildren AT alajwadhawrai trachealbronchusarareetiologyofrecurrentpneumoniainchildren AT alibrahimahmada trachealbronchusarareetiologyofrecurrentpneumoniainchildren AT altukruniegbalb trachealbronchusarareetiologyofrecurrentpneumoniainchildren AT alhasanireemn trachealbronchusarareetiologyofrecurrentpneumoniainchildren AT manduraharwat trachealbronchusarareetiologyofrecurrentpneumoniainchildren AT halabiyaraa trachealbronchusarareetiologyofrecurrentpneumoniainchildren AT alghamdibatoolj trachealbronchusarareetiologyofrecurrentpneumoniainchildren AT alhawajfaisal trachealbronchusarareetiologyofrecurrentpneumoniainchildren |