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Plastic bronchitis associated with influenza A virus in children with asthma

机译:患有哮喘儿童的流感病毒相关的塑料支气管炎

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Plastic bronchitis (PB) is a rare and potentially fatal disease characterized by acute progressive dyspnea caused by bronchial casts in the bronchial tree. We analyzed two children with asthma and PB who presented with high fever, cough and dyspnea. Both cases showed acute onset and rapid disease progression. Laboratory examination revealed that both children were infected with influenza A virus. Emergency fiberoptic bronchoscopy was performed within 20 hours of admission. Immediately after removing the bronchial casts, their dyspnea symptoms improved significantly, and they recovered after comprehensive treatment with antiviral drugs, antibiotics and glucocorticoids. When children with asthma have acute progressive and difficult-to-relieve dyspnea after infection with influenza A virus, clinicians should be aware of the possibility of PB and perform bronchoscopy as soon as possible to facilitate early diagnosis and treatment and improve patient prognosis.
机译:塑料支气管炎(PB)是一种难以且潜在的致命疾病,其特征在于支气管树中的支气管铸件引起的急性进展性呼吸困难。 我们分析了两个哮喘和PB的儿童,患有高烧,咳嗽和呼吸困难。 两种病例显示出急性发作和快速疾病进展。 实验室检查表明,两种儿童都感染了流感病毒。 应急纤维支气管镜检查在入场后20小时内进行。 在去除支气管铸件后立即,它们的呼吸困难症状显着提高,并且在用抗病毒药物,抗生素和糖皮质激素综合治疗后恢复。 当哮喘的儿童感染患有流感病毒感染后患有急性进展和难以缓解的呼吸困难时,临床医生应该了解PB的可能性并尽快进行支气管镜检查,以促进早期诊断和治疗,并改善患者预后。

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