Format

Send to

Choose Destination
J Bras Pneumol. 2014 Jan-Feb;40(1):82-5. doi: 10.1590/S1806-37132014000100013.

Add-on treatment with nebulized hypertonic saline in a child with plastic bronchitis after the Glenn procedure.

[Article in English, Portuguese]

Author information

1
Jagiellonian University, Medical College, Department of Pediatrics, Chair of Pediatrics, Cracow, Poland, Professor. Department of Pediatrics, Chair of Pediatrics, Jagiellonian University Medical College, Cracow, Poland.
2
Jagiellonian University, Medical College, Department of Pediatrics, Chair of Pediatrics, Cracow, Poland, Associated Professor. Department of Pediatrics, Chair of Pediatrics, Jagiellonian University Medical College, Cracow, Poland.
3
Jagiellonian University, Medical College, Department of Pediatrics, Chair of Pediatrics, Cracow, Poland, Assistant. Department of Pediatrics, Chair of Pediatrics, Jagiellonian University Medical College, Cracow, Poland.

Abstract

Plastic bronchitis (PB), although a rare cause of airway obstruction, has mortality rates up to 50% in children after Fontan-type cardiac surgery. We present the case of an 18-month-old female patient with PB following pneumonia. At 6 months of age, the patient underwent the Glenn procedure due to functionally univentricular heart. Fiberoptic bronchoscopy revealed complete blockage of the left bronchus by mucoid casts. Pharmacotherapy consisted of glucocorticosteroids, azithromycin, and enalapril maleate. The child also received nebulized 3% NaCl solution, which proved to be beneficial. In children submitted to Fontan-type procedures, physicians must be alert for PB, which can be triggered by respiratory tract infection.

PMID:
24626275
PMCID:
PMC4075918
DOI:
10.1590/S1806-37132014000100013
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Scientific Electronic Library Online Icon for PubMed Central
Loading ...
Support Center