Recurrent Plastic Bronchitis in a Child with 2009 Influenza A (H1N1) and Influenza B Virus Infection.
10.3346/jkms.2012.27.9.1114
- Author:
Sun KIM
1
;
Hwa Jin CHO
;
Dong Kyun HAN
;
Yoo Duk CHOI
;
Eun Seok YANG
;
Young Kuk CHO
;
Jae Sook MA
Author Information
1. Department of Family Medicine, Chonnam National University Medical School, Chonnam National University Hospital, Gwangju, Korea.
- Publication Type:Case Reports
- Keywords:
H1N1 Subtype Influenza A Virus;
Influenza B virus;
Bronchitis;
Bronchial Hyperreactivity
- MeSH:
Administration, Inhalation;
Adrenal Cortex Hormones/therapeutic use;
Antiviral Agents/therapeutic use;
Bronchitis/complications/*diagnosis/drug therapy;
Bronchoscopy;
Child;
DNA, Viral/analysis;
Dyspnea/etiology;
Humans;
Hypersensitivity/pathology;
Influenza A Virus, H1N1 Subtype/*genetics/isolation & purification;
Influenza B virus/genetics/isolation & purification;
Influenza, Human/complications/*diagnosis/drug therapy;
Male;
Oseltamivir/therapeutic use;
Pulmonary Atelectasis/drug therapy/radiography;
Real-Time Polymerase Chain Reaction;
Tachypnea/etiology;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2012;27(9):1114-1119
- CountryRepublic of Korea
- Language:English
-
Abstract:
Plastic bronchitis is an uncommon disorder characterized by the formation of bronchial casts. It is associated with congenital heart disease or pulmonary disease. In children with underlying conditions such as allergy or asthma, influenza can cause severe plastic bronchitis resulting in respiratory failure. A review of the literature showed nine cases of plastic bronchitis with H1N1 including this case. We report a case of a child with recurrent plastic bronchitis with eosinophilic cast associated with influenza B infection, who had recovered from plastic bronchitis associated with an influenza A (H1N1) virus infection 5 months previously. To the best of our knowledge, this is the first case of recurrent plastic bronchitis related to influenza viral infection. If patients with influenza virus infection manifest acute respiratory distress with total lung atelectasis, clinicians should consider plastic bronchitis and early bronchoscopy should be intervened. In addition, management for underlying disease may prevent from recurrence of plastic bronchitis.
