作者: Fei Zhou Zhang , Lu Qin , Jie Xin Yuan , Lan Fang Tang
DOI: 10.1186/S12887-020-1954-0
关键词:
摘要: Plastic bronchitis (PB) frequently occurs as a serious postoperative complication of the Fontan procedure. The definitive causes PB are unknown. Herein, we report pediatric case secondary to adenoviral infection. A 4-year-old girl was admitted general ward for cough since 2 weeks and fever 11 days. Consolidated lesions were noted in right upper both lower lung lobes. Extracorporeal membrane oxygenation performed because patient’s respiratory failure remained unalleviated despite use ventilator. Bronchial dendritic casts extracted using flexible bronchoscopy, breathing improved. Pathological examination cast confirmed diagnosis type I PB. exfoliated cells sputum from bronchoalveolar lavage fluid positive antigen. Human adenovirus 7 detected by next-generation sequencing fluid. patient recovered discharged 39 days after admission without recurrence or wheezing. due human infection should be considered children with persistent failure. Flexible bronchoscopy early confirm remove any airway obstruction.