Recycling plastic: diagnosis and management of plastic bronchitis among adults

Ntiamoah, Prince; Mukhopadhyay, Sanjay; Ghosh, Subha; Mehta, Atul C.

doi:10.1183/16000617.0096-2021

Cited by 21 publications

(10 citation statements)

References 63 publications

(86 reference statements)

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“…When children with no known history of foreign bodies present with comorbid long-term pulmonary infection, it is important to be vigilant against endogenous foreign bodies. Previous reports have suggested that almost all plastic bronchitis is accompanied by atelectasis or pulmonary consolidation [ 31 , 32 ]. In this study, the cases of obstructive emphysema and atelectasis were spontaneously relieved after the foreign bodies were removed.…”

Section: Discussionmentioning

confidence: 99%

Characteristics and Treatment of Pediatric Tracheobronchial Foreign Bodies: A Retrospective Analysis of 715 Cases

et al. 2022

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Background This study aimed to analyze the clinical characteristics of tracheobronchial foreign bodies in children in Shenzhen and to explore the diagnosis and treatment methods for special cases. Material/Methods This study included a total of 715 children who were diagnosed with tracheobronchial foreign bodies at Shenzhen Children’s Hospital between October 2016 and October 2021. Data on sex, age, inducement, symptoms, foreign body type, foreign body location, foreign body retention time, foreign body history, and complications were recorded and analyzed. Results Tracheal foreign bodies were found to occur primarily in children aged 0–2 years (90.6%). The overall incidence rates were 69.1% and 30.9% in boys and girls, respectively. Among them, 42.5% of the foreign bodies were detected in the left bronchus and 45.6% in the right bronchus. Inducements included playing while eating (n=398, 55.7%) and also crying (n=209, 29.2%). Operations were performed on 710 (99.3%) children, including 80 (11.2%) immediate surgeries and 2 tracheotomies. One child had no vital signs upon admission and died after emergency foreign body removal. All of the other children who underwent surgery recovered well postoperatively. Conclusions This study presents the characteristics and methods of diagnosis and treatment of tracheobronchial foreign bodies in pediatric patients in Shenzhen. Tracheobronchial foreign bodies are a major cause of accidental injury in infants and young children. In critical cases, airways should be immediately and rapidly cleared with multidisciplinary collaboration. In addition, public safety awareness should be strengthened, particularly among parents, teachers, and other child caregivers, to reduce and prevent instances of tracheobronchial foreign body accidents in children.

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Section: Discussionmentioning

confidence: 99%

Characteristics and Treatment of Pediatric Tracheobronchial Foreign Bodies: A Retrospective Analysis of 715 Cases

et al. 2022

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“…Consistency, cohesiveness, formation of bronchial casts differentiate this entity from other mucus pluggings. [41]. Usually seen in the paediatric population who underwent cardiac surgeries like Fontan's operation.…”

Section: Discussionmentioning

confidence: 99%

“…Fibrin, mucin along with lymphocytes and macrophages as seen in lymphatic abnormalities 3. Mucin /degenerated eosinophils as in ABPA [41].…”

Section: Normal Mucus Densitymentioning

confidence: 99%

“…Plastic bronchitis is characterized by CT findings of centrilobular nodules, consolidation, atelectasis [41]. There may not be associated bronchiectasis in patients who underwent Fontan's operation [53].…”

Section: Imagingmentioning

confidence: 99%

“…Therapeutic bronchoscopy with cryo may be needed for the removal of casts in plastic bronchitis [41]. Thoracic duct embolization, ligation [46], Pulmonary lymphatic intervention(PCL), alpha chymotrypsin [55] tissue plasminogen activator have been used in the treatment.…”

Section: Treatmentmentioning

confidence: 99%

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Bronchocele, a common but underrecognized condition: a systematic review

Kakarla

2022

Monaldi Arch Chest Dis

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Bronchocele is an abnormal accumulation of mucus often with associated bronchial dilatation. It can be due to either increased production or impaired drainage of mucus in the airways. Diseases like chronic bronchitis, bronchial asthma, bronchiectasis are characterized by high mucus production and other atypical conditions are bronchorrhea and plastic bronchitis with different physical characteristics and compositions of mucus. Improper drainage can lead to bronchocele formation due to underlying benign, malignant tumours or bronchial stenosis. Allergic bronchopulmonary aspergillosis (ABPA) has a peculiar appearance with high attenuated mucus (HAM) in imaging. Careful evaluation of bronchocele is needed as it can be associated with bronchial obstruction or rare causes like plastic bronchitis. Proper identification, evaluation for the underlying cause is key for not missing the underlying diagnosis and accurate treatment.

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Distinct clinical characteristics of bocavirus and Mycoplasma pneumoniae infection in children plastic bronchitis

Liu,

Wei,

Zhang

et al. 2024

Immunity Inflam & Disease

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BackgroundThis study investigated clinical and laboratory characteristics of human bocavirus type 1 (HBoV1)‐plastic bronchiolitis (PB), Mycoplasma pneumoniae (MP)‐associated plastic bronchitis (PB) and MP‐NPB in children, highlighting inflammation, coagulation, and bronchoscopic needs.MethodsData on preschool children with PB during HBoV1 or MP infection were collected, comparing MP‐PB to severe Mycoplasma pneumoniae pneumonia.ResultCompared with the MP‐PB group, the HBoV1‐PB group, with younger children, had significantly milder clinical symptoms but higher WBC counts (p = .028). The MP‐PB group exhibited notably elevated Fibrinogen (p = .045) and d‐dimer levels (p < .001). When contrasting the MP‐PB with the MP‐NPB group, children in MP‐PB group still had higher levels of d‐dimer and increased inflammatory indicators such as C‐reactive protein, procalcitonin, lactate dehydrogenase, and interleukin‐6, which were significantly elevated compared with the MP‐NPB group. MP‐PB showed a higher prevalence of plastic bronchial casts in lower lobes (p = .016) and a dominance of neutrophils in BALF cytology. Additionally, children in the MP‐PB group tended to undergo a greater number of bronchoscopies.ConclusionThis study identifies key differences in plastic bronchitis in children due to HBoV1 and MP, highlighting HBoV1's milder inflammation in younger kids and MP's link to severe inflammatory and coagulation responses, guiding clinical diagnosis and treatment.

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Recycling plastic: diagnosis and management of plastic bronchitis among adults

Cited by 21 publications

References 63 publications

Characteristics and Treatment of Pediatric Tracheobronchial Foreign Bodies: A Retrospective Analysis of 715 Cases

Characteristics and Treatment of Pediatric Tracheobronchial Foreign Bodies: A Retrospective Analysis of 715 Cases

Bronchocele, a common but underrecognized condition: a systematic review

Distinct clinical characteristics of bocavirus and Mycoplasma pneumoniae infection in children plastic bronchitis

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