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Fibrinous Bronchitis

Acute or Subacute Bronchitis Fibrinous


Presentation

  • Tulpius 3 in 1641, presented the first reliable report on fibrinous bronchitis.[jamanetwork.com]
  • The casts sometimes present on section a stratified arrangement as if the fibrine had been deposited in layers. They show under the microscope fibrine with leucocytes. The exact pathology and the source of this exudation are somewhat obscure.[chestofbooks.com]
  • We postulated that abnormal pulmonary lymphatic flow would be present in adult patients presenting with some forms of plastic bronchitis as well, and that lymphatic embolization could potentially alleviate their symptoms.[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]
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]
  • […] oppression of the chest, as if something there kept back the air when he coughed and spoke, so that the breath could not be expellea (lasting several days). ‏[books.google.com]
  • Galen 2 observed a case of bronchitis fibrinosa, though he erroneously described the bronchial cast which he saw as a coughed up pulmonary blood-vessel. Tulpius 3 in 1641, presented the first reliable report on fibrinous bronchitis.[jamanetwork.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]
  • 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]
Productive Cough
  • The clinical presentation of plastic bronchitis beyond expectoration of casts includes a productive cough, dyspnea, fever and wheezing. Focal wheezing is a characteristic, if not specific, physical examination finding.[en.wikipedia.org]
  • Signs and symptoms The clinical presentation of plastic bronchitis beyond expectoration of casts includes a productive cough, dyspnea, fever and wheezing. Focal wheezing is a characteristic, if not specific, physical examination finding.[theplasticbronchitisfoundation.org]
Chronic Cough
  • Prednisone, Bactrim, Hizentra, Azithromycin, Valcyclovir, Albuterol 4 M 75 2 Chronic cough Every 4–5 days, lasting 24 hours N/A 5 M 60 3 Chronic cough Daily Prednisone, hypertonic saline, steroids 6 F 42 1 Asthma, mold hypersensitivity, peripheral eosinophilia[doi.org]
Persistent Cough
  • Some children with persistent coughs are helped by the anti-inflammatory medications used to treat asthma and allergy.[bakerpediatrics.com]
Red Eye
  • الصفحة 226 - Paroxysm commenced at 8 am Hard and shaking chills, lasting one hour, after which great thirst, followed by fever with no thirst; headache; flushed face; dry, red eyes, and after the fever, sweating with thirst; but very profuse perspiration[books.google.com]

Treatment

  • Treatment .—The treatment in the acute form will be similar to that of pseudo-membranous croup, the object being to soften and dislodge the membrane.[henriettes-herb.com]
  • To date, there has been a poor understanding of the etiology of the disease, which has led to limited treatment options, variability in treatments between centers, and poor patient outcomes.[doi.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]
  • […] a good prognosis once the underlying disease is treated.[theplasticbronchitisfoundation.org]
  • Patients with plastic bronchitis that is being caused due to a co-morbid condition generally have a good prognosis once the underlying disease is treated. To date, about 420 cases have been reported in the medical literature.[en.wikipedia.org]
  • Optimal therapy for patients with Type 2 casts is not clear; the prognosis probably depends on underlying cardiac status. We hope that this simple classification will provide a framework for further study of this obscure condition.[scienceopen.com]

Etiology

  • Etiology .—Certain conditions predispose to this affection, although the specific cause' is not known.[henriettes-herb.com]
  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • 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]

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 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.[theplasticbronchitisfoundation.org]
  • Epidemiology Person-to-person contact is the usual means of spread of all types of croup.[atsu.edu]
Sex distribution
Age distribution

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]
  • 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

  • The TJEM also covers the fields of disaster-prevention science, including earthquake archeology. Submitted manuscripts will be screened for plagiarism with Similarity Check ( ).[doi.org]
  • The use of tPA via direct administration into the airways during bronchoscopy and via a nebulizer appeared to be a safe and effective therapy for plastic bronchitis and should be considered early in the course of the disease to prevent complications of[pediatrics.aappublications.org]
  • Children should be sedated when being intubated to prevent them from pulling out the tube.[atsu.edu]
  • Goldfarb SB 2018 12 Management and Treatment of Pediatric Plastic Bronchitis. ( 28238517 ) PAcrez Ruiz E....PAcrez FrA-as J. 2017 13 Left upper lobe atelectasis due to plastic bronchitis. ( 29276877 ) A9iA9manlar T....BoyunaA9a A.9. 2017 14 Strategies to Prevent[malacards.org]
  • Another way is to prevent mold is adding 1/4 of a tsp of chlorox per gallon of water in the humidifier. Also, in the morning, open the windows or use a dehumidifier to get some of the excess humidity out of the room.[bakerpediatrics.com]

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