scholarly journals Tracheal Bronchus: A Rare Etiology of Recurrent Pneumonia in Children

Cureus ◽  
2021 ◽  
Author(s):  
Saif A Alqahtani ◽  
Anwar M Alghamdi ◽  
Rawan A Babader ◽  
Doaa A Aljehani ◽  
Razan K Alsultan ◽  
...  
Keyword(s):  
Tracheal Bronchus ◽  
Recurrent Pneumonia

scholarly journals A rare anaesthetic challenge in a one-lung ventilated paediatric patient with right upper lobe tracheal bronchus

2020 ◽  
Vol 48 (10) ◽  
pp. 030006052096760
Author(s):  
Yuangui Zhang ◽  
Meiman Qin ◽  
Xiaoqian Wang ◽  
Quanzhang Yan
Keyword(s):  
Paediatric Patient ◽  
Left Lung ◽  
Recurrent Infection ◽  
Lung Ventilation ◽  
Tracheal Bronchus ◽  
One Lung Ventilation ◽  
Recurrent Pneumonia ◽  
Single Lumen ◽  
History Of ◽  
The Right

A tracheal bronchus is a rare congenital anomaly, suggesting abnormal bronchial development. The prevalence of tracheal bronchus in children who undergo bronchoscopy is estimated to be between 0.2% and 3%. When associated with recurrent infection, lobes of the lung must be removed to avoid further lung injury. In such cases, perioperative one-lung ventilation and airway management remain a huge challenge for anaesthesiologists. The case of this rare airway anatomic abnormality in a paediatric patient with two bronchial openings into the right upper lobe, and with a history of recurrent pneumonia, is reported. In addition to a normal opening, a distinct opening in the upper lobe of the right lung was observed, that originated directly from the trachea, superior to the carina. The entire right lung was deflated by left-lung ventilation using a single lumen tracheal tube, and the patient underwent right upper lobe resection. No anaesthesia complications were observed during recovery. In this case, timely identification of the tracheal bronchus and successful collapse of the right lung were key points in the anaesthesia management of this patient.

scholarly journals Pulmonary Actinomycosis in a Male Patient with a Tracheal Bronchus

2011 ◽  
Vol 18 (2) ◽  
pp. 84-86 ◽  
Author(s):  
Cecilia T Costiniuk ◽  
Nha Voduc ◽  
Carolina de Souza
Keyword(s):  
Present Article ◽  
Congenital Malformation ◽  
Male Patient ◽  
Needle Biopsy ◽  
Tracheal Bronchus ◽  
Recurrent Pneumonia ◽  
Transthoracic Needle Biopsy ◽  
Documented Case ◽  
Pulmonary Actinomycosis ◽  
Chronic Pneumonia

BACKGROUND: Tracheal bronchus is a congenital malformation comprising an abnormal bronchus originating from the trachea or other bronchus. This malformation has been associated with recurrent pneumonia in children, but is rarely associated with infection in adults.Actinomycesspecies are rare causes of necrotizing pneumonias that often masquerade as malignancy, lung abscesses and tuberculosis.METHODS AND RESULTS: A case involving a 46-year-old man with a tracheal bronchus and chronic pneumonia syndrome is presented. Bronchialveolar lavage and transthoracic needle biopsy demonstrated the presence ofActinomyces meyeriandFusobacteriumspecies.CONCLUSIONS: The present article reports the first documented case of actinomycosis occurring in a patient with a tracheal bronchus.

scholarly journals Tracheal Bronchus: Rare Cause of Recurrent Pneumonia and Worsening Bronchiectasis in Adults

2019 ◽  
Vol 6 (8) ◽  
Author(s):  
Jamil Asma ◽  
Jamil Ayesha ◽  
Gulati Rajesh ◽  
Popa Alina ◽  
Ismail Hiba
Keyword(s):  
Tracheal Bronchus ◽  
Recurrent Pneumonia

Tracheal Bronchus Associated With Unilateral Absence of Pulmonary Artery and Recurrent Pneumonia

2016 ◽  
Vol 7 (2) ◽  
Author(s):  
Iraj Sedighi ◽  
Mehrnaz Olfat ◽  
Neda Pak ◽  
Maryam Nasr Esfahany
Keyword(s):  
Pulmonary Artery ◽  
Tracheal Bronchus ◽  
Recurrent Pneumonia

scholarly journals THE TRACHEAL BRONCHUS

1957 ◽  
Vol 33 (2) ◽  
pp. 282-286
Author(s):  
Burnett Schaff ◽  
George Baum
Keyword(s):  
Tracheal Bronchus

scholarly journals 1510. Infant Pneumonia and Subsequent Risk of Chronic Respiratory Disorders

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S758-S759
Author(s):  
Stephen I Pelton ◽  
Rotem Lapidot ◽  
Matthew Wasserman ◽  
Melody Shaff ◽  
Ahuva Hanau ◽  
...  
Keyword(s):  
Research Study ◽  
Scientific Research ◽  
Airway Disease ◽  
Research Support ◽  
Recurrent Wheezing ◽  
Recurrent Pneumonia ◽  
Respiratory Disorders ◽  
Study Investigator ◽  
Study Population ◽  
Research Grant

Abstract Background Community-acquired pneumonia (CAP) in infancy (i.e., among children aged < 2 years) may have long-term consequences for the rapidly developing lung. We examined the impact of pneumonia in infancy on subsequent respiratory health. Methods A retrospective matched-cohort design and data from Optum’s de-identified Integrated Claims-Clinical dataset (2009-2018) were employed. Study population comprised children who were hospitalized for CAP before age 2 years (“CAP patients”) as well as matched comparators without evidence of pneumonia before age 2 years (“comparison patients”). CAP patients and comparison patients were matched (fixed 1:5 ratio, without replacement) using estimated propensity scores and a nearest-neighbor approach; those with evidence of selected medical conditions (e.g., extreme prematurity, congenital diseases, respiratory diseases) before age 2 years were excluded. Study outcomes included recurrent pneumonia and a composite of asthma, recurrent wheezing, and hyperactive airway disease. Rates of study outcomes from age 2 to 5 years were estimated for all CAP and comparison patients as well as subgroups of CAP patients (and corresponding comparison patients) stratified by etiology (bacterial, viral, unspecified). Results Study population totaled 1,343 CAP patients and 6,715 comparison patients. CAP patients and comparison patients were well-balanced on their baseline characteristics and mean duration of follow-up was 757 and 729 days, respectively. Rates of chronic respiratory disorders from age 2 to 5 years were significantly higher among CAP patients versus comparison patients. Analyses of subgroups stratified by etiology demonstrated higher rates of study outcomes among CAP patients across all strata. Rates of recurrent pneumonia and a composite of asthma, recurrent wheezing, and hyperactive airway disease from age 2 to 5 years among CAP patients and matched comparison patients Conclusion Infant CAP foreshadows an increase in subsequent risk of chronic respiratory disorders. Further studies are needed to determine whether this elevated risk is due to infant pneumonia or whether infant pneumonia is a marker of at-risk children. Disclosures Stephen I. Pelton, MD, Merck vaccine (Consultant, Grant/Research Support)Pfizer (Consultant, Grant/Research Support)Sanofi Pasteur (Consultant, Other Financial or Material Support, DSMB)Seqirus Vaccine Ltd. (Consultant) Rotem Lapidot, MD, MSCI, Pfizer (Consultant) Matthew Wasserman, MSc., Pfizer Inc. (Employee) Melody Shaff, BA, Pfizer, Inc. (Consultant, Grant/Research Support, Scientific Research Study Investigator, Research Grant or Support) Ahuva Hanau, BS, Pfizer, Inc. (Consultant, Grant/Research Support, Scientific Research Study Investigator, Research Grant or Support) Alexander Lonshteyn, PhD, Pfizer, Inc. (Consultant, Grant/Research Support, Scientific Research Study Investigator, Research Grant or Support) Derek Weycker, PhD, Pfizer Inc. (Consultant, Grant/Research Support, Scientific Research Study Investigator, Research Grant or Support)

Acquired tracheo-oesophageal fistula in a child with unrecognised tracheal foreign body

2021 ◽  
Vol 14 (4) ◽  
pp. e240947
Author(s):  
Kanokpan Ruangnapa ◽  
Wanaporn Anuntaseree ◽  
Kantara Saelim ◽  
Pharsai Prasertsan
Keyword(s):  
Foreign Body ◽  
Young Children ◽  
Respiratory Symptoms ◽  
Growth Failure ◽  
Late Diagnosis ◽  
Feeding Intolerance ◽  
Recurrent Pneumonia ◽  
High Index Of Suspicion ◽  
Careful Investigation

We report the case of a 6-month-old girl who presented with recurrent pneumonia and growth failure. After full examination, she was diagnosed with long-standing, unrecognised tracheal foreign body, which was then successfully removed. However, her chronic respiratory symptoms did not improve, and she also had feeding intolerance. The persistence of symptoms indicated a second bronchoscopy and finally an acquired tracheo-oesophageal fistula was diagnosed. This case emphasises the challenges in diagnosis of an inhaled foreign body in young children. Late diagnosis of this condition can cause significant morbidities. A high index of suspicion and careful investigation are very important to prevent long-term complications.

scholarly journals Acquired pure red cell aplasia and T cell large granular lymphocytic leukaemia in patients with autoimmune polyglandular syndrome type 1

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Jing Ruan ◽  
Xuan Wang ◽  
Xianyong Jiang ◽  
Miao Chen
Keyword(s):  
Lymphocytic Leukaemia ◽  
Pure Red Cell Aplasia ◽  
Chronic Diarrhoea ◽  
Syndrome Type ◽  
Red Cell ◽  
Recurrent Pneumonia ◽  
Red Cell Aplasia ◽  
Autoimmune Polyendocrine Syndrome ◽  
Immunological Mechanisms

Abstract Background Pure red cell aplasia (PRCA) and large granular lymphocytic leukaemia (LGLL) are very rare complications of autoimmune polyendocrine syndrome type 1 (APS1). Here, we report a case of APS1 with PRCA and LGLL. Previous cases were reviewed, and possible mechanisms are discussed. Case presentation A 31-year-old female presented with anaemia and was diagnosed with PRCA in our centre. She also had hypoparathyroidism for 24 years, premature ovarian failure for 10 years, osteoporosis for 5 years, recurrent pneumonia with bronchiectasis for 4 years and chronic diarrhoea for 1 year. Boosted whole-exome analysis showed AIRE heterozygous mutations, confirming the diagnosis as APS1. LGLL was diagnosed during follow-up. The PRCA responded well to glucocorticoid. treatment Conclusion AIRE is causally related to the development of LGLL and consequent PRCA, which may be due to some immunological mechanisms.

Recurrent Pneumonia in a Young Adult

2006 ◽  
Vol 13 (5) ◽  
pp. 311-314
Author(s):  
Theodore J. Lee ◽  
Jessica W. T. Leung ◽  
Gautham P. Reddy ◽  
Michael B. Gotway
Keyword(s):  
Young Adult ◽  
Recurrent Pneumonia
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