J Korean Med Sci.  2012 Sep;27(9):1114-1119. 10.3346/jkms.2012.27.9.1114.

Recurrent Plastic Bronchitis in a Child with 2009 Influenza A (H1N1) and Influenza B Virus Infection

Affiliations
  • 1Department of Family Medicine, Chonnam National University Medical School, Chonnam National University Hospital, Gwangju, Korea.
  • 2Department of Pediatrics, Chonnam National University Medical School, Chonnam National University Hospital, Gwangju, Korea. youngcx@hanmail.net
  • 3Department of Pathology, Chonnam National University Medical School, Chonnam National University Hospital, Gwangju, Korea.
  • 4Department of Pediatrics, Chosun University College of Medicine, Gwangju, Korea.

Abstract

Plastic bronchitis is an uncommon disorder characterized by the formation of bronchial casts. It is associated with congenital heart disease or pulmonary disease. In children with underlying conditions such as allergy or asthma, influenza can cause severe plastic bronchitis resulting in respiratory failure. A review of the literature showed nine cases of plastic bronchitis with H1N1 including this case. We report a case of a child with recurrent plastic bronchitis with eosinophilic cast associated with influenza B infection, who had recovered from plastic bronchitis associated with an influenza A (H1N1) virus infection 5 months previously. To the best of our knowledge, this is the first case of recurrent plastic bronchitis related to influenza viral infection. If patients with influenza virus infection manifest acute respiratory distress with total lung atelectasis, clinicians should consider plastic bronchitis and early bronchoscopy should be intervened. In addition, management for underlying disease may prevent from recurrence of plastic bronchitis.

Keyword

H1N1 Subtype Influenza A Virus; Influenza B virus; Bronchitis; Bronchial Hyperreactivity

MeSH Terms

Administration, Inhalation
Adrenal Cortex Hormones/therapeutic use
Antiviral Agents/therapeutic use
Bronchitis/complications/*diagnosis/drug therapy
Bronchoscopy
Child
DNA, Viral/analysis
Dyspnea/etiology
Humans
Hypersensitivity/pathology
Influenza A Virus, H1N1 Subtype/*genetics/isolation & purification
Influenza B virus/genetics/isolation & purification
Influenza, Human/complications/*diagnosis/drug therapy
Male
Oseltamivir/therapeutic use
Pulmonary Atelectasis/drug therapy/radiography
Real-Time Polymerase Chain Reaction
Tachypnea/etiology
Tomography, X-Ray Computed
Adrenal Cortex Hormones
Antiviral Agents
DNA, Viral
Oseltamivir
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