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Indian Journal of Critical Care Medicine
Medknow Publications on behalf of the Indian Society of Critical Care Medicine
ISSN: 0972-5229
EISSN: 1998-359x
Vol. 14, No. 4, 2010, pp. 205-208
Bioline Code: cm10046
Full paper language: English
Document type: Case Report
Document available free of charge

Indian Journal of Critical Care Medicine, Vol. 14, No. 4, 2010, pp. 205-208

 en A case of bronchiolitis obliterans in a young child
Keskar, Vaibhav; Tullu, Milind S. & Bavdekar, Sandeep B.

Abstract

Bronchiolitis obliterans (BO) is an infrequent chronic obstructive pulmonary disease that follows an insult to lower respiratory tract. BO following a severe lung infectious disease is the most common form reported in children. It implies a chronic necrotizing and ultimately fibrosing process affecting the small airways which results in progressive obliteration with resultant obstructive lung disease. The characteristic symptom-complex includes dyspnea, chronic cough, sputum production and wheezing. Although histopathology remains the gold standard for diagnosis, computed tomographic scan is of great help in diagnosis. Etiological role of mechanical ventilation has not yet been studied well. We report a case of BO in a three year old child occurring after an episode of lower respiratory tract infection requiring prolonged mechanical ventilation with subsequent development of ventilator-associated pneumonia. Our patient had a protracted clinical course with good response to corticosteroids.

Keywords
Bronchiolitis obliterans, chest, child, lung, mechanical ventilation, pneumonia, steroids.

 
© Copyright 2010 Indian Journal of Critical Care Medicine.
Alternative site location: http://www.ijccm.org/

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