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Plastic bronchitis associated with influenza virus infection in children: A report on 14 cases

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  • Plastic bronchitis associated with influenza virus infection in children: A report on 14 cases

    Int J Pediatr Otorhinolaryngol. 2015 Jan 15. pii: S0165-5876(15)00018-X. doi: 10.1016/j.ijporl.2015.01.002. [Epub ahead of print]
    Plastic bronchitis associated with influenza virus infection in children: A report on 14 cases.

    Zhang J1, Kang X2.
    Author information

    Abstract

    BACKGROUND:

    Plastic bronchitis (PB) is a rare disease characterized by formation of bronchial casts. It is usually associated with congenital heart disease, sickle cell disease, lymphoma, and lung diseases such as asthma and pneumonia.
    OBJECTIVES:

    To report 14 cases of PB with influenza A or influenza B infection.
    METHODS:

    We analyzed the clinical manifestations, bronchoscopic and histologic findings, clinical courses, and outcomes.
    RESULTS:

    These cases indicate that PB is a life-threatening complication of severe influenza. Plastic bronchitis should be considered in the diagnosis of children with acute respiratory distress such as lung atelectasis accompanied by influenza.
    CONCLUSIONS:

    Diagnosis should be made by bronchial endoscopy and histopathology, and bronchial casts removed as early as possible.
    Copyright ? 2015 Elsevier Ireland Ltd. All rights reserved.


    KEYWORDS:

    Children; Influenza A virus; Influenza B virus; Plastic bronchitis

    PMID: 25639552 [PubMed - as supplied by publisher]
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