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[A case of necrotizing tracheitis and tracheobronchomalacia in a patient with severe motor and intellectual disabilities].

Abstract
We report a 23-year-old male patient with severe motor and intellectual disabilities due to sequelae of intracranial hemorrhage, who have had suffered from pneumonia with pleural effusion after influenza infection followed by mechanical ventilation. This patient also had complication of tracheobronchomalacia. Positive pressure ventilation in addition to thoracheocentesis was necessary for the drainage of pleural effusion. Abrupt hypooxygenation during mechanical ventilation revealed the presence of necrotizing tracheitis, which was improved with removal of necrotic tissues by bronchoscopy and inhalation of steroid thereafter. To relieve the compression which worsened the tracheobronchomalacia, partial resection of the sternal bone was performed. This patient died of complications after operation. This case suggests the importance of accurate diagnosis and treatment of the mechanical ventilation complications including necrotizing tracheitis and tracheobronchomalacia which may be life-threating.
AuthorsKei Sakamoto, Koutarou Ukaji, Yuji Mizuno
JournalNo to hattatsu = Brain and development (No To Hattatsu) Vol. 40 Issue 4 Pg. 319-23 (Jul 2008) ISSN: 0029-0831 [Print] Japan
PMID18634418 (Publication Type: Case Reports, English Abstract, Journal Article)
Topics
  • Adult
  • Bronchial Diseases (etiology)
  • Disabled Persons
  • Humans
  • Intellectual Disability (complications)
  • Male
  • Motor Skills Disorders (complications)
  • Necrosis
  • Respiration, Artificial
  • Tracheal Diseases (etiology)
  • Tracheitis (complications)

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