The Management of Influenza Virus-Induced Plastic Bronchitis in Pediatric Patients: A Case Report and Literature Review

Makoto Miyamoto, Yasuhiro Yanagishita, Asami Kure, Satoru Hashimoto, Toshihiko Takiura, Akira Hosaki, Kunimasa Yan, Koichiro Saito

Abstract


Although the incidence is very rare, plastic bronchitis (PB) could be a serious comorbid disease of virus infection in children, especially in those who have a history of bronchial asthma. We have recently experienced an influenza virus-induced PB who was successfully treated by endoscopic intervention under multidisciplinary approach in our institution. The purpose of this report is to confirm the role of otolaryngologists in the management of potentially lethal pediatric PB. A 7-year-old girl visited our institution (Kyorin University Hospital) and was hospitalized to the Pediatrics Department with worsening cough and chest pain. Chest radiography and computed tomography imaging showed a complete atelectasis of the left lung. Influenza virus testing proved the infection of influenza A in this patient, and she was treated by antiviral medication (peramivir hydrate), systemic steroid therapy and respiratory rehabilitation. However, her symptoms were worsening, and she was consulted to our department. Multiple clinical information suggested PB, and bronchoscopic evaluation/treatment was performed under general anesthesia using laryngeal mask 4 days after her hospitalization. Endoscopic intervention visualized the blockage of left main bronchus with highly viscous mucous, and her symptoms were improved by endoscopic suctioning of the mucus; and it was found that the inflammatory cells were eosinophil. Her pulmonary condition got better immediately after suctioning, and she was discharged 10 days after the intervention. Our report suggested the indispensable role of otolaryngologist for successful diagnosis and treatment of the influenza virus-induced PB in pediatric patients.




Int J Clin Pediatr. 2022;11(1):20-26
doi: https://doi.org/10.14740/ijcp476

Keywords


Plastic bronchitis; Influenza virus-induced PB; Atelectasis; Endoscopic suctioning; Eosinophil

Full Text: HTML PDF
 

Browse  Journals  

     

Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 

 

 

 

International Journal of Clinical Pediatrics, quarterly, ISSN 1927-1255 (print), 1927-1263 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International
CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (
COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.theijcp.org   editorial contact: editor@theijcp.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.