Case report: Unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial Tuberculosis
Endobronchial Tuberculosis is hazardous in causing circumferential narrowing of tracheobronchial tree despite the eradication of tubercle bacilli in the initial insult from Pulmonary Tuberculosis. They may present as treatment resistant bronchial asthma and pose challenge to airway management in the...
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doaj-d21d6f4c30bb4b339b4cfad9586c44242020-11-24T21:02:24ZengElsevierRespiratory Medicine Case Reports2213-00712017-01-0122C29229410.1016/j.rmcr.2017.10.011Case report: Unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial TuberculosisS. Praveena Seevaunnamtum0Nazhan Afeef Mohd. Ariff @ Ghazali1Wan Mohd Nazaruddin2Alwi Muhd Besari3N.H. Nik Fariza4Sanihah Che Omar5Saedah Ali6M.Z. Rhendra Hardy7Mohd Erham Mat Hassan8N.M. Nik Abdullah9Department of Anaesthesiology & Intensive Care, School of Medical Science, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Anaesthesiology & Intensive Care, School of Medical Science, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Anaesthesiology & Intensive Care, School of Medical Science, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Internal Medicine, School of Medical Science, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Otorhinolaryngology-Head & Neck Surgery, School of Medical Science, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Anaesthesiology & Intensive Care, School of Medical Science, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Anaesthesiology & Intensive Care, School of Medical Science, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Anaesthesiology & Intensive Care, School of Medical Science, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Anaesthesiology & Intensive Care, School of Medical Science, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, MalaysiaDepartment of Anaesthesiology & Intensive Care, School of Medical Science, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, MalaysiaEndobronchial Tuberculosis is hazardous in causing circumferential narrowing of tracheobronchial tree despite the eradication of tubercle bacilli in the initial insult from Pulmonary Tuberculosis. They may present as treatment resistant bronchial asthma and pose challenge to airway management in the acute setting. We present a 25 year-old lady who was newly diagnosed bronchial asthma with a past history of Pulmonary Tuberculosis that had completed treatment. She presented with sudden onset of difficulty breathing associated with noisy breathing for 3 days and hoarseness of voice for 6 months. Due to resistant bronchospasm, attempts were made to secure the airway which led to unanticipated difficult intubation and ventilation. Subsequent investigations confirmed the diagnosis of Endobronchial Tuberculosis and patient was managed successfully with anti TB medication, corticosteroids and multiple sessions of tracheal dilatation for tracheal stenosis. This case highlights the unusual cause of difficulty in intubation and ventilation due to Endobronchial Tuberculosis, which required medical and surgical intervention to improve the condition.http://www.sciencedirect.com/science/article/pii/S221300711730299XEndobronchial tuberculosisBronchospasmSubglottic stenosisBronchial asthma |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
S. Praveena Seevaunnamtum Nazhan Afeef Mohd. Ariff @ Ghazali Wan Mohd Nazaruddin Alwi Muhd Besari N.H. Nik Fariza Sanihah Che Omar Saedah Ali M.Z. Rhendra Hardy Mohd Erham Mat Hassan N.M. Nik Abdullah |
spellingShingle |
S. Praveena Seevaunnamtum Nazhan Afeef Mohd. Ariff @ Ghazali Wan Mohd Nazaruddin Alwi Muhd Besari N.H. Nik Fariza Sanihah Che Omar Saedah Ali M.Z. Rhendra Hardy Mohd Erham Mat Hassan N.M. Nik Abdullah Case report: Unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial Tuberculosis Respiratory Medicine Case Reports Endobronchial tuberculosis Bronchospasm Subglottic stenosis Bronchial asthma |
author_facet |
S. Praveena Seevaunnamtum Nazhan Afeef Mohd. Ariff @ Ghazali Wan Mohd Nazaruddin Alwi Muhd Besari N.H. Nik Fariza Sanihah Che Omar Saedah Ali M.Z. Rhendra Hardy Mohd Erham Mat Hassan N.M. Nik Abdullah |
author_sort |
S. Praveena Seevaunnamtum |
title |
Case report: Unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial Tuberculosis |
title_short |
Case report: Unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial Tuberculosis |
title_full |
Case report: Unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial Tuberculosis |
title_fullStr |
Case report: Unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial Tuberculosis |
title_full_unstemmed |
Case report: Unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial Tuberculosis |
title_sort |
case report: unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of endobronchial tuberculosis |
publisher |
Elsevier |
series |
Respiratory Medicine Case Reports |
issn |
2213-0071 |
publishDate |
2017-01-01 |
description |
Endobronchial Tuberculosis is hazardous in causing circumferential narrowing of tracheobronchial tree despite the eradication of tubercle bacilli in the initial insult from Pulmonary Tuberculosis. They may present as treatment resistant bronchial asthma and pose challenge to airway management in the acute setting. We present a 25 year-old lady who was newly diagnosed bronchial asthma with a past history of Pulmonary Tuberculosis that had completed treatment. She presented with sudden onset of difficulty breathing associated with noisy breathing for 3 days and hoarseness of voice for 6 months. Due to resistant bronchospasm, attempts were made to secure the airway which led to unanticipated difficult intubation and ventilation. Subsequent investigations confirmed the diagnosis of Endobronchial Tuberculosis and patient was managed successfully with anti TB medication, corticosteroids and multiple sessions of tracheal dilatation for tracheal stenosis. This case highlights the unusual cause of difficulty in intubation and ventilation due to Endobronchial Tuberculosis, which required medical and surgical intervention to improve the condition. |
topic |
Endobronchial tuberculosis Bronchospasm Subglottic stenosis Bronchial asthma |
url |
http://www.sciencedirect.com/science/article/pii/S221300711730299X |
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