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Plastic bronchitis requiring bronchoscopy

Published online by Cambridge University Press:  04 May 2010

E Hoskison ,
O Judd ,
E Dickinson  and
A Dux
E Hoskison*
Affiliation:
Department of Otolaryngology, University Hospitals of Leicester, UK
O Judd
Affiliation:
Department of Otolaryngology, University Hospitals of Leicester, UK
E Dickinson
Affiliation:
University of Leicester Medical School, UK
A Dux
Affiliation:
Department of Radiology, University Hospitals of Leicester, UK
*
Address for correspondence: Ms E Hoskison, Department of Otolaryngology, University Hospitals of Leicester, Leicester LE1 5WW, UK. Fax: +44 (0)116 2585631 E-mail: [email protected]
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Abstract

Objective:

We report two cases of plastic bronchitis presenting with acute respiratory failure and mimicking foreign body inhalation.

Method:

The clinical findings, differential diagnoses and radiological investigation are discussed.

Results:

Plastic bronchitis is an uncommon condition, particularly in children. The condition may present to otolaryngologists with symptoms mimicking foreign body inhalation. It is important to consider plastic bronchitis as a differential diagnosis, based on its clinical and radiological signs. Early intervention, in the form of bronchoscopy, can be both diagnostic and therapeutic.

Conclusion:

Plastic bronchitis is uncommon and its clinical and radiological features are non-specific. The recommended management is early bronchoscopy to establish the diagnosis and enable therapeutic intervention.

Keywords

PlasticsBronchitisBronchoscopyForeign Bodies
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 12 , December 2010 , pp. 1321 - 1324
Copyright
Copyright © JLO (1984) Limited 2010

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References

1Stiller, B, Riedel, F, Paul, K, van Landeghem, FK. Plastic bronchitis in children with Fontan palliation: analogue to protein losing enteropathy? Pediatr Cardiol 2002;23:90–4CrossRefGoogle ScholarPubMed
2Seear, M, Hui, H, Magee, F, Bohn, D, Cutz, E. Bronchial casts in children: a proposed classification based on nine cases and a review of the literature. Am J Respir Crit Care Med 1997;155:364–70CrossRefGoogle Scholar
3Bowen, A, Oudjhane, K, Odagiri, K, Liston, SL, Cumming, WA, Oh, KS. Plastic bronchitis: large, branching, mucoid bronchial casts in children. Am J Roentgenol 1985;144:371–5Google Scholar
4Pérez-Soler, A. Cast bronchitis in infants and children. Am J Dis Child 1989;143:1024–9Google ScholarPubMed
5Cajaiba, MM, Borralho, P, Reyes-Múgica, M. The potentially lethal nature of bronchial casts: plastic bronchitis. Int J Surg Path 2008;16:230–2CrossRefGoogle ScholarPubMed
6Morgan, AD, Bogomoletz, W. Mucoid impaction of the bronchi in relation to asthma and plastic bronchitis. Thorax 1968;23:356–69CrossRefGoogle ScholarPubMed
7Werkhaven, J, Holinger, LD. Bronchial casts in children. Ann Otol Rhinol Laryngol 1987;96:86–92CrossRefGoogle ScholarPubMed
8Veras, TN, Lannes, GM, Piva, JP, Stein, RT, Jones, MH, Silva, VD et al. Plastic bronchitis in a child with thalassemia alpha. J Pediatr (Rio J) 2005;81:499–502Google Scholar
9Raghuram, N, Pettignano, R, Gal, AA, Harsch, A, Adamkiewicz, TV. Plastic bronchitis: an unusual complication associated with sickle cell disease and acute chest syndrome. Paediatrics 1997;100:139–42CrossRefGoogle ScholarPubMed
10Waring, WW, Brunt, CH, Hilman, BC. Mucoid impaction of the bronchi in cystic fibrosis. Pediatrics 1967;39:166–75CrossRefGoogle ScholarPubMed
11Kao, NL, Richmond, GW. Cough productive of casts. Ann Allergy Asthma Immunol 1996;76:231–3CrossRefGoogle ScholarPubMed
12Colloridi, V, Roggini, M, Formigari, R, Ventriglia, F, Giglioni, E. Plastic bronchitis as a rare complication of Fontan's operation. Pediatr Cardiol 1990;11:228CrossRefGoogle ScholarPubMed
13Eberlein, MH, Drummond, MB, Haponik, EF. Plastic bronchitis: a management challenge. Am J Med Sci 2008;335:163–9CrossRefGoogle ScholarPubMed
14Kuperman, T, Wexler, ID, Shoseyov, D, Weintraub, M, Revel-Vilk, S, Kerem, E. Plastic bronchitis caused by neoplastic infiltrates in a child. Pediatr Pulmonol 2006;41:893–6CrossRefGoogle ScholarPubMed
15Quasney, MW, Orman, K, Thompson, J, Ring, JC, Salim, M, Schoumacher, RA et al. Plastic bronchitis occurring late after the Fontan procedure: treatment with aerosolized urokinase. Crit Care Med 2000;28:2107–11Google Scholar
16Brogan, TV, Finn, LS, Pyskaty, DJ Jr, Redding, GJ, Ricker, D, Inglis, A et al. Plastic bronchitis in children: a case series and review of the medical literature. Pediatr Pulmonol 2002;34:482–7CrossRefGoogle ScholarPubMed
17Noizet, O, Leclerc, F, Leteurtre, S, Brichet, A, Pouessel, G, Dorkenoo, A et al. Plastic bronchitis mimicking foreign body aspiration that needs a specific diagnostic procedure. Intensive Care Med 2003;29:329–31CrossRefGoogle Scholar
18Cairns-Bazarian, AM, Conway, EE, Yankelowitz, S. Plastic bronchitis: an unusual case of respiratory distress in children. Pediatr Emerg Care 1992;8:335–7CrossRefGoogle ScholarPubMed
19Goo, HW, Jhang, WK, Kim, YH, Ko, JK, Park, IS, Park, JJ et al. CT findings of plastic bronchitis in children after a Fontan operation. Paediatric Radiology 2008;38:989–93Google Scholar
20Aldrich, TK, Dhuper, SK, Patwa, NS, Makolo, E, Suzuka, SM, Najeebi, SA et al. Pulmonary entrapment of sickle cells: the role of regional alveolar hypoxia. J Appl Physiol 1996;80:531–9CrossRefGoogle ScholarPubMed
21Verghese, S, Jackson, M, Vaughns, J, Preciado, D. Plastic bronchitis in a child with Fontan's physiology presenting for urgent rigid bronchoscopy. Anesth Analg 2008;107:1446–7CrossRefGoogle Scholar
22Urschel, HC, Paulson, DL, Shaw, RR. Mucoid impaction of the bronchi. Ann Thorac Surg 1966;2:1–16CrossRefGoogle ScholarPubMed
23Haseyama, K, Satomi, G, Yasukochi, S, Matsui, H, Harada, Y, Uchita, S. Pulmonary vasodilation therapy with sildenafil citrate in a patient with plastic bronchitis after the Fontan procedure for hypoplastic left heart syndrome. J Thorac Cardiovasc Surg 2006;132:1232–3CrossRefGoogle Scholar
24Park, JY, Elshami, AA, King, DS, Jung, TH. Plastic bronchitis. Eur Respir J 1996;9:612–14CrossRefGoogle ScholarPubMed
25Manna, SS, Shaw, J, Tibby, SM, Durward, A. Treatment of plastic bronchitis in acute chest syndrome of sickle cell disease with intratracheal rhDNase. Arch Dis Child 2003;88:626–7CrossRefGoogle ScholarPubMed