A Case of Plastic Bronchitis Associated Influenza A Pneumonia Requiring ECMO Assistance
- Author:
Hong Yul AN
1
;
Seung Min BAEK
;
Youn Young CHOI
;
You sun KIM
;
Eui Jun LEE
;
Yu Hyeon CHOI
;
Yun Jung CHOI
;
Dong In SUH
;
Jae Gun KWAK
;
Woong Han KIM
;
June Dong PARK
Author Information
- Publication Type:Case Report
- Keywords: Bronchitis; Mucus; Influenza A virus; Extracorporeal membrane oxygenation; Bronchoscopy
- MeSH: Acidosis, Respiratory; Anemia, Hemolytic; Anoxia; Bronchi; Bronchitis; Bronchoscopy; Child; Dermatitis, Atopic; Extracorporeal Membrane Oxygenation; Humans; Influenza A virus; Influenza, Human; Inhalation; Intubation, Intratracheal; Male; Mucus; Nitric Oxide; Patients' Rooms; Plastics; Pneumonia; Respiration, Artificial; Respiratory Insufficiency; Urticaria
- From:Pediatric Infection & Vaccine 2018;25(2):101-106
- CountryRepublic of Korea
- Language:English
- Abstract: A 6-year-old boy with underlying hemolytic anemia of unknown etiology, atopic dermatitis, and recurrent urticaria visited our hospital because of acute respiratory failure induced by influenza A. Despite mechanical ventilation after endotracheal intubation along with inhalation of nitric oxide, respiratory acidosis and hypoxemia persisted. Veno-venous extracorporeal membrane oxygenation (VV ECMO) insertion was performed to provide respiratory support. After performing flexible bronchoscopy, we found that thick mucus plugs were obstructing the right bronchus intermedius and the upper lobe orifice. After bronchial washing and removal of the plugs, we were able to wean the patient off VV ECMO and transfer him to the general ward. He was discharged without any neurologic or pulmonary sequelae.
