Acta Scientific Clinical Case Reports

Case ReportVolume 3 Issue 12

Case Report of a Left Upper Bronchial Cast in A Lebanese Adolescent Patient Diagnosed After Persistent Pneumonia with Obstruction Removed by Dual Rigid and Flexible Bronchoscopy

Ammar El Kheir1 and Chadi AL Alam2*

1Pediatrics, Pediatric Pulmonary and Allergic Diseases, Saudi German Hospital, Dammam, KSA and Haykel Hospital, El Koura, Lebanon
2Pediatrics and Pediatric Neurology, American Center for Psychiatry and Neurology - ACPN, Abu Dhabi, UAE and Haykel Hospital, El Koura, Lebanon

*Corresponding Author: Chadi AL Alam, Pediatrics and Pediatric Neurology, American Center for Psychiatry and Neurology - ACPN, Abu Dhabi, UAE and Haykel Hospital, El Koura, Lebanon.

Received: November 08, 2022; Published: November 29, 2022

Abstract

We present in this case an adolescent Lebanese male patient who initially was treated for resistant pneumonia by another physician since 8 months without improvement. Symptoms was consistent with coughing and episodes of fever. During the second hospitalization under intravenous antibiotics, he was not improving, and pulmonology consultation was done. A bronchial cast was suspected due the history of non-treated asthma and the imaging. Patient underwent bronchoscopy for the removal of the cast with direct amelioration of symptoms and imaging follow up.

Keywords: Bronchial Cast; Bronchoscopy; Atelectasis; Resistant Pneumonia; Non-treated Asthma

Bibliography

  1. A Mendoza., et al. “Bronquitis plástica. A propósito de un caso y revisión de los casos asociados a cirugía de Fontan”. Anales de Pediatría (Barc) 62 (2005): 72-75.
  2. Li Y., et al. “Current evaluation and management of plastic bronchitis in the pediatric population”. International Journal of Pediatric Otorhinolaryngology 130 (2020): 109799.
  3. Coen M., et al. “An adult case of plastic bronchitis: a rare and multifactorial disease”. Journal of Thoracic Disease 1 (2018): E16-E19.
  4. Robinson M., et al. “Plastic Bronchitis Treated With Topical Tissue-Type Plasminogen Activator and Cryotherapy”. Clinical Pediatrics (Phila) 12 (2016): 1171-1175.
  5. Verghese S., et al. “Plastic bronchitis in a child with Fontan’s physiology presenting for urgent rigid bronchoscopy”. Anesthesia and Analgesia 4 (2008): 1446-1447.
  6. Wang G., et al. “Effective use of corticosteroids in treatment of plastic bronchitis with hemoptysis in Chinese adults”. Acta Pharmacologica Sinica 9 (2006): 1206-1212.
  7. Kim EJ., et al. “Plastic bronchitis in an adult with asthma”. Tuberculosis and Respiratory Diseases (Seoul) 73.2 (2012): 122-126.
  8. Shah A., et al. “A lesson in plasticity: a 74-year-old man with plastic bronchitis”. Thorax11 (2017): 1055-1057.
  9. Patil MH., et al. “Successful bronchoscopy in a pregnant patient with plastic bronchitis”. Respiratory Medicine Case Reports 18 (2016): 8-9.
  10. Sriratanaviriyakul N., et al. “Safety and Clinical Utility of Flexible Bronchoscopic Cryoextraction in Patients With Non-neoplasm Tracheobronchial Obstruction: A Retrospective Chart Review”. Journal of Bronchology and Interventional Pulmonology 4 (2015): 288-293.

Citation: Ammar El Kheir and Chadi AL Alam. “Case Report of a Left Upper Bronchial Cast in A Lebanese Adolescent Patient Diagnosed After Persistent Pneumonia with Obstruction Removed by Dual Rigid and Flexible Bronchoscopy". Acta Scientific Clinical Case Reports 3.12 (2022): 24-27.

Copyright: © 2022 Ammar El Kheir and Chadi AL Alam. 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.