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Garcia-Henriquez N, Toloza EM, Khalil F, Echavarria MF, Garrett JR, Moodie CC, Kaszuba FJ, Fontaine JP. Extensive plastic bronchitis: etiology of a rare condition. J Thorac Dis 2016; 8:E961-E965. [PMID: 27747036 DOI: 10.21037/jtd.2016.09.07] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
We present the case of a 55-year-old man who developed extensive occlusive bronchial casts after trachea-esophageal (TE) fistula repair. The bronchial casts were treated by bronchoscopic extraction, high dose steroids, antibiotics, and antifungals. Despite this multi-modality treatment, the rapid formation of these occlusive bronchial casts was very aggressive and could not be controlled even with a series of five rigid bronchoscopic extractions within a 48-hour period. The patient quickly deteriorated and succumbed to the inflammatory state. The multiple factors that might have led to the patient's bronchial cast formation are discussed.
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Affiliation(s)
| | - Eric M Toloza
- Department of Thoracic Oncology, Moffitt Cancer Center, Tampa, FL, USA;
| | - Farah Khalil
- Department of Thoracic Oncology, Moffitt Cancer Center, Tampa, FL, USA; ; Department of Pathology, Moffitt Cancer Center, Tampa, FL, USA
| | - Maria F Echavarria
- Morsani College of Medicine, University of South Florida, Tampa, FL, USA
| | - Joseph R Garrett
- Department of Thoracic Oncology, Moffitt Cancer Center, Tampa, FL, USA
| | - Carla C Moodie
- Department of Thoracic Oncology, Moffitt Cancer Center, Tampa, FL, USA
| | - Frank J Kaszuba
- Department of Thoracic Oncology, Moffitt Cancer Center, Tampa, FL, USA; ; Department of Pulmonary-Critical Care Medicine, Moffitt Cancer Center, Tampa, FL, USA
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