| Title: |
Medical image of the week: mucous plugs forming ariway casts |
| Authors: |
Ateeli H; Hypes C |
| Source: |
Southwest Journal of Pulmonary and Critical Care, Vol 15, Iss 6, Pp 278-279 (2017) |
| Publisher Information: |
Arizona Thoracic Society |
| Publication Year: |
2017 |
| Collection: |
Directory of Open Access Journals: DOAJ Articles |
| Subject Terms: |
airway cast; mucous plug; bronchoscopy; atelectasis; cryoprobe; pneumonia; cryo-adhesion; volume loss; airway obstruction; nonresolving; Medical emergencies. Critical care. Intensive care. First aid; RC86-88.9; Diseases of the respiratory system; RC705-779 |
| Description: |
No abstract available. Article truncated at 150 words. A 64 -year-old man with a recent diagnosis of acute lymphocytic leukemia (ALL) on chemotherapy presented with acute hypoxic respiratory failure, multifocal pneumonia, neutropenic fever and septic shock. The patient was intubated and required vasopressors for septic shock. His blood and sputum cultures grew Pseudomonas aeruginosa. Chest computed tomography demonstrated extensive consolidation of the left lung mainly the left lower lobe with extensive endobronchial mucus plugs. The patient underwent bronchoscopy after noninvasive measures failed to resolve the left lung atelectasis. After multiple attempts to retrieve the mucus plugs (Figure 1) with suction failed, a cryo-adhesion probe was used to freeze and retrieve the mucus plug. The plug formed a cast taking the shape of the airway (Figure 2). Flexible bronchoscopy is warranted in patients who have persistent atelectasis or pneumonia that is either of unknown cause or suspected of being due to airway obstruction (1). The use of cryo-adhesion and … |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
http://www.swjpcc.com/imaging/2017/12/13/medical-image-of-the-week-mucous-plugs-forming-airway-casts.html; https://doaj.org/toc/2160-6773; https://doaj.org/article/bc128dd3051b40349d3b3e321ccc4911 |
| DOI: |
10.13175/swjpcc147-17 |
| Availability: |
https://doi.org/10.13175/swjpcc147-17; https://doaj.org/article/bc128dd3051b40349d3b3e321ccc4911 |
| Accession Number: |
edsbas.2D8AC16B |
| Database: |
BASE |