Plastic bronchitis requiring bronchoscopy

J Laryngol Otol. 2010 Dec;124(12):1321-4. doi: 10.1017/S0022215110000915. Epub 2010 May 4.

Abstract

Objective: We report two cases of plastic bronchitis presenting with acute respiratory failure and mimicking foreign body inhalation.

Method: The clinical findings, differential diagnoses and radiological investigation are discussed.

Results: Plastic bronchitis is an uncommon condition, particularly in children. The condition may present to otolaryngologists with symptoms mimicking foreign body inhalation. It is important to consider plastic bronchitis as a differential diagnosis, based on its clinical and radiological signs. Early intervention, in the form of bronchoscopy, can be both diagnostic and therapeutic.

Conclusion: Plastic bronchitis is uncommon and its clinical and radiological features are non-specific. The recommended management is early bronchoscopy to establish the diagnosis and enable therapeutic intervention.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Bronchitis / diagnostic imaging*
  • Bronchitis / therapy
  • Bronchoalveolar Lavage
  • Bronchoscopy
  • Child, Preschool
  • Diagnosis, Differential
  • Foreign Bodies / diagnostic imaging*
  • Foreign Bodies / therapy
  • Humans
  • Male
  • Radiography
  • Risk Factors
  • Suction / methods