Acute Tracheal Necrosis After Intubation in a Childhood Onset Systemic Lupus Erythematosus

Burke, Brendan; Tierney, William S.; Georgopoulos, Rachel; Latifi, Samir; Agarwal, Hemant

doi:10.1016/j.chest.2020.08.2076

Cited by 2 publications

(2 citation statements)

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“…2 Third, weakness of tracheal connective tissue in this case is also posited to have been further compounded by the patient's SLE, notwithstanding the infrequency of SLE upper airway involvement. 8 With regard to the unconventional use of VV ECMO as a means of respiratory support for the patient throughout surgery, there was no subcutaneous emphysema from air leakage detected, which indicated that the trachea was not completely ruptured yet. Thus, there was time for surgical planning.…”

Section: Discussionmentioning

confidence: 95%

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Impending spontaneous tracheal rupture due to steroid use

Koh

Sewa

Soo

2022

SAGE Open Medical Case Reports

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A spontaneous tracheal rupture is rare and life-threatening. We postulate that long-term steroid administration is an under-reported risk factor. We present a case of an impending spontaneous tracheal rupture in a 51-year-old female with a significant medical history of systemic lupus erythematosus and interstitial lung disease, and a drug history of chronic steroid intake for 9 months. An impending tracheal rupture was diagnosed by computed tomography, which prompted surgery. A right thoracotomy, followed by a posterior tracheal repair via an intercostal muscle flap, was done, with venovenous extracorporeal membrane oxygenation support throughout the operation.

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Section: Discussionmentioning

confidence: 95%

“…Third, weakness of tracheal connective tissue in this case is also posited to have been further compounded by the patient’s SLE, notwithstanding the infrequency of SLE upper airway involvement. 8 …”

Section: Discussionmentioning

confidence: 99%