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Infant in extremis: respiratory failure secondary to lower airway infantile hemangioma
BACKGROUND: Infantile hemangiomas (IHs) are vascular tumors that commonly affect infants and usually regress spontaneously or can be easily treated as an outpatient with topical beta-blockers. However, IHs that present in the airway may cause life-threatening symptoms due to airway obstruction or ri...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9801545/ https://www.ncbi.nlm.nih.gov/pubmed/36581920 http://dx.doi.org/10.1186/s12887-022-03821-1 |
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author | MacDougall, Matthew S. Afzal, Sarah Y. Freedman, Michael S. Han, Peggy |
author_facet | MacDougall, Matthew S. Afzal, Sarah Y. Freedman, Michael S. Han, Peggy |
author_sort | MacDougall, Matthew S. |
collection | PubMed |
description | BACKGROUND: Infantile hemangiomas (IHs) are vascular tumors that commonly affect infants and usually regress spontaneously or can be easily treated as an outpatient with topical beta-blockers. However, IHs that present in the airway may cause life-threatening symptoms due to airway obstruction or risk of bleeding. Here we present the first documented case of an infant with rapid deterioration and acute respiratory failure secondary to a lower airway hemangioma. CASE PRESENTATION: This 3-month-old male initially presented in respiratory distress with symptoms consistent with a viral respiratory infection, however showed no clinical improvement with standard therapies. An urgent CT scan revealed a mass occluding the right mainstem bronchus. Upon transfer to a tertiary care facility, he developed acute respiratory failure requiring emergent intubation and single lung ventilation. The availability of multiple subspecialists allowed for stabilization of a critically ill child, expedited diagnosis, and ultimately initiation of life-saving treatment with beta blockers. After 17 total hospital days, he was extubated successfully and discharged home in good condition. CONCLUSIONS: While IH is a rare cause of infantile respiratory distress, we present multiple pearls for the general pediatrician for management of IHs of the airway. |
format | Online Article Text |
id | pubmed-9801545 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-98015452022-12-31 Infant in extremis: respiratory failure secondary to lower airway infantile hemangioma MacDougall, Matthew S. Afzal, Sarah Y. Freedman, Michael S. Han, Peggy BMC Pediatr Case Report BACKGROUND: Infantile hemangiomas (IHs) are vascular tumors that commonly affect infants and usually regress spontaneously or can be easily treated as an outpatient with topical beta-blockers. However, IHs that present in the airway may cause life-threatening symptoms due to airway obstruction or risk of bleeding. Here we present the first documented case of an infant with rapid deterioration and acute respiratory failure secondary to a lower airway hemangioma. CASE PRESENTATION: This 3-month-old male initially presented in respiratory distress with symptoms consistent with a viral respiratory infection, however showed no clinical improvement with standard therapies. An urgent CT scan revealed a mass occluding the right mainstem bronchus. Upon transfer to a tertiary care facility, he developed acute respiratory failure requiring emergent intubation and single lung ventilation. The availability of multiple subspecialists allowed for stabilization of a critically ill child, expedited diagnosis, and ultimately initiation of life-saving treatment with beta blockers. After 17 total hospital days, he was extubated successfully and discharged home in good condition. CONCLUSIONS: While IH is a rare cause of infantile respiratory distress, we present multiple pearls for the general pediatrician for management of IHs of the airway. BioMed Central 2022-12-30 /pmc/articles/PMC9801545/ /pubmed/36581920 http://dx.doi.org/10.1186/s12887-022-03821-1 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report MacDougall, Matthew S. Afzal, Sarah Y. Freedman, Michael S. Han, Peggy Infant in extremis: respiratory failure secondary to lower airway infantile hemangioma |
title | Infant in extremis: respiratory failure secondary to lower airway infantile hemangioma |
title_full | Infant in extremis: respiratory failure secondary to lower airway infantile hemangioma |
title_fullStr | Infant in extremis: respiratory failure secondary to lower airway infantile hemangioma |
title_full_unstemmed | Infant in extremis: respiratory failure secondary to lower airway infantile hemangioma |
title_short | Infant in extremis: respiratory failure secondary to lower airway infantile hemangioma |
title_sort | infant in extremis: respiratory failure secondary to lower airway infantile hemangioma |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9801545/ https://www.ncbi.nlm.nih.gov/pubmed/36581920 http://dx.doi.org/10.1186/s12887-022-03821-1 |
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