Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-28T00:13:34.706Z Has data issue: false hasContentIssue false
  • English
  • Français

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: emmahoskison@hotmail.com
Get access Rights & Permissions [Opens in a new window]

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

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

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