Document Detail

Stridor and respiratory failure due to tracheobronchomalacia: case report and review of the literature.
MedLine Citation:
PMID:  22344362     Owner:  NLM     Status:  MEDLINE    
CONTEXT: Tracheobronchomalacia (TBM) results from structural and functional abnormalities of the respiratory system. It is characterized by excessive collapse: at least 50% of the cross-sectional area of the trachea and main bronchi. In this paper, we present a rare case of a patient with TBM who first presented with stridor and respiratory failure due to exacerbation of chronic bronchitis.
CASE REPORT: An 81-year-old Caucasian man was admitted presenting coughing, purulent sputum, stridor and respiratory failure. He had a medical history of chronic obstructive pulmonary disease (COPD) and silicosis and was a former smoker. Axial computed tomography on the chest revealed marked collapse of the trachea in its middle third. Bronchoscopy showed characteristics compatible with TBM. He was treated with noninvasive ventilation, without any good response. Subsequently, a Dumon Y stent was placed by means of rigid bronchoscopy. After the procedure, he was discharged with a clinical improvement.
CONCLUSION: TBM is fatal and often underdiagnosed. In COPD patients, stridor and respiratory failure may be helpful signs that should alert physicians to consider TBM as an early diagnosis. Thus, these signs may be important for optimizing the treatment and evolution of such patients.
Ramon Andrade de Mello; Adriana Magalhães; Abílio José Vilas-Boas
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  São Paulo medical journal = Revista paulista de medicina     Volume:  130     ISSN:  1806-9460     ISO Abbreviation:  Sao Paulo Med J     Publication Date:  2012  
Date Detail:
Created Date:  2012-02-20     Completed Date:  2012-10-04     Revised Date:  2012-10-11    
Medline Journal Info:
Nlm Unique ID:  100897261     Medline TA:  Sao Paulo Med J     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  61-4     Citation Subset:  IM    
Internal Medicine Department of São João Hospital, Porto, Portugal.
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MeSH Terms
Aged, 80 and over
Pulmonary Disease, Chronic Obstructive / complications*
Rare Diseases / complications*
Respiratory Insufficiency / etiology*
Respiratory Sounds / etiology*
Tracheobronchomalacia / complications*,  therapy

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