Plastic bronchitis arising from solitary influenza B infection: A report of two cases in children

Nogan, Stephen; Cass, Nathan D.; Wiet, Gregory J.; Ruda, James

doi:10.1016/j.ijporl.2015.03.028

Cited by 8 publications

(7 citation statements)

References 16 publications

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“…Since 2011, PB associated with influenza A (H1N1) and influenza B virus infections has been reported in multiple observational studies and case reports. 9,13,[20][21][22] Furthermore, a comprehensive search of PubMed for relevant papers published before February 29, 2020 indicated that only two pediatric cases with PB were secondary to ADV B1 and human ADV 7 infection, 7,10 respectively, and three were related to Human bocavirus. 23,24 Data directly reporting M.…”

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confidence: 99%

Efficacy of fiberoptic bronchoscopy and bronchoalveolar lavage in childhood‐onset, complicated plastic bronchitis

Wang

Sun

et al. 2020

Pediatric Pulmonology

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Background: Plastic bronchitis (PB) is a rare, variable, and potentially fatal disease. This study aimed to assess the efficacy of fiberoptic bronchoscopy (FOB) and bronchoalveolar lavage (BAL) in treating children with PB. Methods: In total, 15 children with PB, between 2012 and 2020, were enrolled in our study. Within 12 hours of admission, FOB and BAL were performed and reviewed under local anesthesia and sedation. Before and after FOB, clinical findings and chest imaging were evaluated. Results: Regarding the onset of symptoms before FOB, all cases had prominent cough for 7.00 ± 4.55 days, and 14 had persistent high fever. In total, 13 cases had complete obstruction from bronchial casts, consistent with consolidated lesions; 2 had partial airway obstruction. Within 3 days, complete resolution was revealed in nine cases. Overall, six cases underwent repeated FOB (range, 2-3 times) for persistent atelectasis and airway obstruction. Except for two cases with type 2 PB, cast histology confirmed type 1 PB for all cases. Only eight children had minor intraand post-procedure complications. Reverse transcription-polymerase chain reaction for Mycoplasma pneumoniae in sputum and BAL samples were positive in 13 cases. Next-generation sequencing of the BAL samples was positive for adenovirus and Human parainfluenza virus in one case, respectively. During 1 month to 7 years of follow-up, no patient developed PB recurrence, asthmatic attacks, or chronic cough. Conclusions: Early FOB and BAL were effective in alleviating clinical findings, atelectasis, and airway obstruction. Serial FOB could be performed in patients with recurrent symptoms.

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confidence: 99%

Efficacy of fiberoptic bronchoscopy and bronchoalveolar lavage in childhood‐onset, complicated plastic bronchitis

Wang

Sun

et al. 2020

Pediatric Pulmonology

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“…11) In another study, influenza B, which is known to be more infectious than influenza A, was reported to cause plastic bronchitis. 10) The patient described in the present case report was not diagnosed with asthma but had allergic diseases, such as atopic dermatitis and recurrent urticaria. It is possible that the patient's susceptibility to allergies influenced the development of plastic bronchitis.…”

Section: Discussionmentioning

confidence: 73%

“…8) Recently, several papers on influenza and plastic bronchitis in children have been published. [9][10][11] In particular, a paper from a single center in China reported that 2 out of 14 patients died from hypoxia due to plastic bronchitis and multiple organ failure associated with it between 2009 and 2014. 11) In another study, influenza B, which is known to be more infectious than influenza A, was reported to cause plastic bronchitis.…”

Section: Discussionmentioning

confidence: 99%

A Case of Plastic Bronchitis Associated Influenza A Pneumonia Requiring ECMO Assistance

Baek

Choi

et al. 2018

Pediatr Infect Vaccine

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A 6-year-old boy with underlying hemolytic anemia of unknown etiology, atopic dermatitis, and recurrent urticaria visited our hospital because of acute respiratory failure induced by influenza A. Despite mechanical ventilation after endotracheal intubation along with inhalation of nitric oxide, respiratory acidosis and hypoxemia persisted. Veno-venous extracorporeal membrane oxygenation (VV ECMO) insertion was performed to provide respiratory support. After performing flexible bronchoscopy, we found that thick mucus plugs were obstructing the right bronchus intermedius and the upper lobe orifice. After bronchial washing and removal of the plugs, we were able to wean the patient off VV ECMO and transfer him to the general ward. He was discharged without any neurologic or pulmonary sequelae.

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“…Plastic bronchitis is the development of thick, obstructing mucoid/gelatinous casts in the tracheobronchial airway 3 . It is rare in childhood, but has been reported in patients with congenital heart disease, asthma, cystic fibrosis, bronchopulmonary aspergillosis 3,4 . There are two types of disease.…”

Section: Discussionmentioning

confidence: 99%

Left upper lobe atelectasis due to plastic bronchitis

et al. 2017

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Şişmanlar T, Aslan AT, Öztunalı Ç, Boyunağa Ö. Left upper lobe atelectasis due to plastic bronchitis. Turk J Pediatr 2017; 59: 207-209. Plastic bronchitis is a rare condition in children, characterized by expectoration of branching bronchial casts. It can cause atelectasis in the lung. Herein we reported a 4.5-year-old boy with left upper lobe atelectasis due to plastic bronchitis. Although his chest X-ray is specific for left upper left atelectasis, thoracic computerized tomography had been performed and was compatible with obliterated left upper lobe bronchus. Typical radiological appearance of the left upper lobe atelectasis is not well known by clinicians which results unnecessary further examinations such as computerized tomography which exposes high dose radiation. We want to emphasize the long-term side effects of radiation and avoid unnecessary examinations in children.

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Plastic bronchitis arising from solitary influenza B infection: A report of two cases in children

Cited by 8 publications

References 16 publications

Efficacy of fiberoptic bronchoscopy and bronchoalveolar lavage in childhood‐onset, complicated plastic bronchitis

Efficacy of fiberoptic bronchoscopy and bronchoalveolar lavage in childhood‐onset, complicated plastic bronchitis

A Case of Plastic Bronchitis Associated Influenza A Pneumonia Requiring ECMO Assistance

Left upper lobe atelectasis due to plastic bronchitis

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