Computed Tomography Scan Evidence of Bronchospasm and Its Resolution During Computed Tomography Coronary Angiogram in a Child With Kawasaki Disease: A Case Report

Mamatha Munaf; Shrinivas Gadhinglajkar; Prasanta K Dash; Jagadish A

doi:10.1213/XAA.0000000000001388

Computed Tomography Scan Evidence of Bronchospasm and Its Resolution During Computed Tomography Coronary Angiogram in a Child With Kawasaki Disease: A Case Report

A A Pract. 2021 Mar 8;15(3):e01388. doi: 10.1213/XAA.0000000000001388.

Authors

Mamatha Munaf¹, Shrinivas Gadhinglajkar, Prasanta K Dash, Jagadish A

Affiliation

¹ From the Division of Cardiac Anaesthesia, Department of Anaesthesiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.

PMID: 33684081
DOI: 10.1213/XAA.0000000000001388

Abstract

Bronchospasm in children is common; however, due to its sudden nature, radiographic correlation is uncommon. We planned a computed tomography (CT) coronary angiogram for a 5-year-old child for evaluation of Kawasaki disease. The child started to desaturate during the CT scanning after intravenous contrast injection under conscious sedation. CT scan documented spasm of trachea and bronchi, as well as crowding of ribs and elevated diaphragm during the event. Repeat CT scan documented well-aerated lung fields. The development of acute bronchospasm under anesthesia results in definite changes in the CT scan of the thoracic cavity as evidenced by this incident.

Publication types

Case Reports

MeSH terms

Bronchi
Bronchial Spasm* / diagnostic imaging
Bronchial Spasm* / etiology
Child, Preschool
Coronary Angiography
Humans
Mucocutaneous Lymph Node Syndrome* / complications
Mucocutaneous Lymph Node Syndrome* / diagnostic imaging
Tomography, X-Ray Computed