Presentation
A review of the literature was performed to elucidate the etiology, pathogenesis, presentation, diagnosis, classification, and management of plastic bronchitis. [ohsu.pure.elsevier.com]
A 27-year-old woman presented with a 2-month history of sudden cough with thick sputum sometimes forming a cast of the bronchial tree ( Figure 1A ). She denied any medical or surgical history. [doi.org]
Few month before he presented to the pulmonary clinic, he had wheezing and rhonchi. He had no viral illness, no fever and no sick contact. No recent travel. [scholarworks.wmich.edu]
Entire Body System
- Collapse
Figure 2: Axial reconstruction of CT Thorax showing complete collapse of the left lung Click here to view Figure 4: Post treatment CT Thorax showing aeration of upper and lower lobe with persistent post obstructive collapse of the lingula Click here to [lungindia.com]
This has led some to suppose that the fibrine corned from the lung alveoli, and in'many cases the lung tissue is considerably altered; there may be phthisis, or pneumonia, or collapse. [chestofbooks.com]
[…] a Message Share a File Directory Events Upcoming Events Mentoring About Mentor Match Mentor Match FAQs Browse Discussion Posts Library Entries Help How To Guide Help/FAQs Community Home Discussion 19.3K Library 232 Events 0 Members 7.9K Expand all | Collapse [engage.ahima.org]
Universitario Virgen del Rocío, Sevilla, Spain Full Text To the Editor, Plastic bronchitis (PB) is a rare, underdiagnosed entity,1–7 characterized by the formation of obstructive bronchial plugs or cylinders of thick, tenacious mucus that cause the collapse [archbronconeumol.org]
Imaging[edit] Simple chest roentenograms may reveal collapse due to airway obstruction. The contralateral lung may be hyperinflated. Casts can be visualized within the major airways using computerized axial tomography scans. [en.wikipedia.org]
- Sepsis
Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration in a Tuberculosis Endemic Country Tuberculosis and Respiratory Diseases 71/6 :408-416,2011 Delta neutrophil index as an early marker of disease severity in critically ill patients with sepsis [medicine.yonsei.ac.kr]
Acute otitis media should be remembered in newborns with sepsis symptoms, especially who have risk factors for otitis media. Abstract | Full Text PDF 14. [medeniyetmedicaljournal.org]
Skeletal Muscle Index at Intensive Care Unit Admission Is a Predictor of Intensive Care Unit-Acquired Weakness in Patients With Sepsis. [physio-pedia.com]
The bacteriology of primary wound sepsis in potentially contaminated abdominal operations: the effect of irrigation, povidone-iodine and cephaloridine on the sepsis rate assessed in a clinical trial. [sohf.nl]
- Congestive Heart Failure
Lymphatic abnormalities are associated with several disease processes, including cirrhosis and congestive heart failure ( 13, 15 ). [doi.org]
As concomitant diseases 10 (% 41.6) cases had hypertension, 6 (% 25) ischaemic heart disease, 4 (% 16.7) atrial fibrillation, 4 (% 16.7) congestive heart failure. There was leucocytosis over 11.000 mm3 in 18 cases. [medeniyetmedicaljournal.org]
- Intravenous Administration
These particles are adsorbed by normal or reactive lymph nodes after intravenous administration, leading to a characteristic MR signal void in noncancerous nodes. [doi.org]
- Hypothermia
Contribute to the emergence of his hypothermia, smoking, focal infection of the nasal part of the pharynx, congestion in the lungs during heart failure, etc.. [omedicine.info]
Respiratoric
- Cough
Dyspnea early comes on, attended by paroxysms of coughing. At first the cough is dry, with but little expectoration, though often of a bloody character. [henriettes-herb.com]
Taking a brisk walk, skiing or ice skating in the cold won't worsen a cough. However, standing still and getting 'a chill' is not good. Cough Medicines: People rush out to buy cough medicines in effort to make the cough "go away". [bakerpediatrics.com]
This causes you to cough. Sometimes it is a dry cough, but often you will cough up mucus (sputum). [lung.org]
- Productive Cough
Citation metadata Abstract : Fibrinous bronchitis, also known as plastic bronchitis or pseudomembranous bronchitis, usually manifests clinically with non-productive cough and dyspnea. [go.gale.com]
Fibrinous bronchitis, also known as plastic bronchitis or pseudomembranous bronchitis, usually manifests clinically with non-productive cough and dyspnea. [jpedres.org]
Patients present with a short history (i.e. less than ~2 months) of breathlessness, non-productive cough, weight loss, malaise and fever. There is no association with smoking. [radiopaedia.org]
We present an interesting case of a 35-year-old woman who presented for evaluation of a chronic cough productive of voluminous secretions. [hindawi.com]
- Chronic Cough
We present an interesting case of a 35-year-old woman who presented for evaluation of a chronic cough productive of voluminous secretions. [hindawi.com]
It can cause chronic coughing episodes that may result in the expectoration of airway plugs that sometimes form a cast of the bronchial tree. [doi.org]
[…] bronchitis - a form of bronchitis characterized by excess production of sputum leading to a chronic cough and obstruction of air flow Based on WordNet 3.0, Farlex clipart collection. © 2003-2012 Princeton University, Farlex Inc. [thefreedictionary.com]
She also developed a chronic cough that was associated with expectoration of pearly white stringy materials that were later confirmed by microscopy to be bronchial casts (Figure 1). [priory.com]
- Persistent Cough
It's important to bring your child in to be seen if the cough is severe, persistent, or associated with a high fever. [bakerpediatrics.com]
Condition characterized by persistent coughing, increased secretion from the bronchial mucosa, obstruction of the respiratory passages, scanty or profuse expectoration, and necrosis and fibrosis of the respiratory tract. [icd10data.com]
Gastrointestinal
- Loss of Appetite
The following may also occur: Dyspnoea Sharp chest pain Worsening cough Fever/chills Tachycardia Pleuritic chest pain Headaches Malaise Muscle pains Cyanosis due to poorly oxygenated blood Loss of appetite Rapid breathing Wheezing or grunting during breathing [physio-pedia.com]
Cardiovascular
- Heart Failure
Contribute to the emergence of his hypothermia, smoking, focal infection of the nasal part of the pharynx, congestion in the lungs during heart failure, etc.. [omedicine.info]
These include pericardial effusion, heart failure, post-Fontan surgery. Plastic bronchitis has not been reported in association with thalassemia minor. [lungindia.com]
[doi:10.11712/qdyxy201305012] GAO Chao,LIU Song,LI fengtian,et al.SERUM FIBROSIS INDEX IN THE DIAGNOSIS OF HEART FAILURE WITH NORMAL LEFT VENTRICULAR EJECTION FRACTION[J].JOURNAL OF QINGDAO UNIVERSITY (MEDICAL SCIENCES),2013,49(06):415. [jms.qdu.edu.cn]
[…] the severity of the cardiac failure and the presence or severity of PB. [doi.org]
- Thrombosis
[…] cerstva tromboza 20x.jpg 2 560 × 1 920; 2,59 MB Acute thrombosis cerstva tromboza 4x.jpg 2 560 × 1 920; 3,04 MB Alportův syndrom glomerulum EM.jpg 352 × 353; 78 KB Alportův syndrom sklerotické glomeruly.jpg 352 × 282; 76 KB AML 20x.jpg 2 560 × 1 920; [wikiskripta.eu]
This condition promote excessive fibrin formation and thus constitute a risk factor for thrombosis. We report the case of a female patient who was protein C deficiency had severe thrombotic complications. Abstract | Full Text PDF 19. [medeniyetmedicaljournal.org]
Prevention of central venous catheter associated thrombosis using minidose warfarin in patients with haematological malignancies. Br J Haematol. 1998;101(3):483-486. 56281 Mendelson, M. H., Short, L. J., Schechter, C. B., Meyers, B. [sohf.nl]
- Cyanosis
The disease can progress rapidly resulting in toxicity, prostration, severe dyspnea, and cyanosis. The physician should be watchful for dysphagia, dysphonia, drooling, and distress—the four D’s. [atsu.edu]
[…] the inflammatory process, the clinical manifestations of the disease can be razlichnymi- from short one-two-day lung ailments with normal body temperature, cough and chest discomfort to severe fever, neutrophilic leukocytosis, shortness of breath and cyanosis [omedicine.info]
The following may also occur: Dyspnoea Sharp chest pain Worsening cough Fever/chills Tachycardia Pleuritic chest pain Headaches Malaise Muscle pains Cyanosis due to poorly oxygenated blood Loss of appetite Rapid breathing Wheezing or grunting during breathing [physio-pedia.com]
- Tachycardia
Other warning signs of severe respiratory disease are tachypnea, tachycardia out of proportion to the presence of fever, lethargy, pallor, and hypotonia (decreased muscle tone). [atsu.edu]
The following may also occur: Dyspnoea Sharp chest pain Worsening cough Fever/chills Tachycardia Pleuritic chest pain Headaches Malaise Muscle pains Cyanosis due to poorly oxygenated blood Loss of appetite Rapid breathing Wheezing or grunting during breathing [physio-pedia.com]
Workup
The patient was previously diagnosed case of beta thalassemia minor as a part of workup done for her daughter who has Thalassemia major. General examination was normal. [lungindia.com]
The results of laboratory tests, such as blood workup, determination of electrolyte concentrations, blood gas analysis and identification of inflammatory markers, were normal, with the exception of the serum levels of IgE, which were elevated (300 IU/ [scielo.br]
X-Ray
- Atelectasis
Posteroanterior and lateral chest X-ray showed left upper lobe atelectasis. He was admitted for the administration of intravenous antibiotic therapy with piperacillin–tazobactam and tobramycin. [archbronconeumol.org]
A computed tomography (CT) scan of the patient’s chest showed right lower lobe atelectasis (Figure 1B). [cmaj.ca]
Radiographic evaluation reveals the site of the bronchial cast impaction, demonstrating atelectasis or infiltrates. Hyperinflation is often evident on the contralateral side. [hindawi.com]
Massive atelectasis due to fibrinous bronchitis. Thorax. 1953 Dec; 8 (4):301–302. [ PMC free article ] [ PubMed ] [ Google Scholar ] Articles from Thorax are provided here courtesy of BMJ Publishing Group [ncbi.nlm.nih.gov]
Case presentation We report on 22-month-old monozygotic twins presenting with atelectasis triggered by a simple respiratory tract infection. [bmcpediatr.biomedcentral.com]
Serum
- Erythrocytosis
In patients with severe respiratory failure from- for erythrocytosis and respiratory acidosis is reduced ESR. [omedicine.info]
Laboratory
- Leukocytosis
When purulent bronchitis observed moderate neutrophilic leukocytosis with a shift to the left. In patients with severe respiratory failure from- for erythrocytosis and respiratory acidosis is reduced ESR. [omedicine.info]
A leukocytosis can be seen in the complete blood count (CBC). A positive thumb sign on lateral radiographs of the neck is diagnostic of epiglottitis. [atsu.edu]
Treatment
Collectively, these data support that in our PB patients, casts are composed of fibrin and are responsive to tPA treatment. [scholars.opb.msu.edu]
Treatment includes rigid bronchoscopy with cast removal and treatment of the underlying condition. [ohsu.pure.elsevier.com]
Diagnosis and treatment of lymphatic plastic bronchitis in adults using advanced lymphatic imaging and percutaneous embolization. Ann Am Thorac Soc, 13 (2016), pp. 1689-1696 [7] B.K. Rubin. Plastic bronchitis. [archbronconeumol.org]
Treatment strategies vary from medical treatment including steroids and various inhaled lytic agents, to bronchoscopy and other surgical interventions. [jpedres.org]
Prognosis
Prognosis.—The acute form is a grave disease, and the prognosis should be guarded. The chronic form generally results favorably, although attacks may recur for years. Where there is a history of tuberculosis the outlook is not so favorable. [henriettes-herb.com]
Plastic bronchitis is a very rare entity, and carries a poorer prognosis when it develops after congenital heart disease, as in our case. [go.gale.com]
The prognosis of plastic bronchitis is generally favorable if the disease is properly treated at the beginning and if the research of associated diseases is negative. [hindawi.com]
Etiology
Underlying etiologies include congenital heart disease, pulmonary disorders, and a few other conditions. [ohsu.pure.elsevier.com]
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Of this last-named condition, the etiology and the pathology are obscure. The disorder is generally chronic and characterized by recurring paroxysms. [jamanetwork.com]
We defend the early use of FB in patients with CF and persistent atelectasis, to assist in the etiological diagnosis, instillation of mucolytics, and extraction of possible bronchial casts. References [1] S. Feray, P. Mora, M. Decavele, T. [archbronconeumol.org]
Organizing pneumonia (OP) is a histological pattern of alveolar inflammation with varied etiology (including pulmonary infection). [radiopaedia.org]
Epidemiology
الصفحة 441 - Becklake MR: Asbestos-related diseases of the lung and other organs: Their epidemiology and implications for clinical practice. الصفحة 279 - Intravascular activation of complement and acute lung injury. [books.google.com]
Epidemiology[edit] To date, about 420 cases have been reported in the medical literature.[1] Given its unusual nature, the true prevalence of PB is unknown, and it is likely that many patients are undiagnosed. [en.wikipedia.org]
Pathophysiology
Although lymphatic abnormalities have been postulated to play a role in the disease process, the etiology and pathophysiology of this complication remain incompletely understood. [doi.org]
Our results suggest that cast formation is mainly related to the metaplastic transformation of the bronchial epithelium and that this metaplasia may play an important pathophysiologic role in certain infants and children with obstructive bronchitis. [jamanetwork.com]
Plastic bronchitis likely occurs as a result of isolated or combined effects of the above pathophysiologies. [priory.com]
Conclusion Our case report is the first to describe two simultaneously affected monozygotic twins and substantiates the hypothesis of a contributing genetic factor in the pathophysiology of this disease. [bmcpediatr.biomedcentral.com]
Prevention
Prevention Phimosis may be prevented by good hygiene. This includes fully pulling back the foreskin, so you can clean under it during bathing. Paraphimosis can be prevented by carefully replacing the foreskin every time it is pulled back. [drugs.com]
Preventing lung infections keeps people healthier year round. Hand washing: Washing hands regularly, as well as keeping surfaces clean, may help to prevent viruses from infecting others. [medicalnewstoday.com]
The patient was given t-PA every six hourly on long term basis to prevent recurrence of bronchial cast formation. (2) Treatment and prevention of bronchial inflammation and injury: Steroids and antibiotics have been used widely to treat plastic bronchitis [priory.com]
Preventing Acute Bronchitis Avoiding lung irritants is important for preventing acute bronchitis as well as treating it. If you smoke, quit. [foundation.chestnet.org]