Massive Asthmatic Atelectasis

Rakower, Joseph; Wayl, P; Halberstadt, Herman

doi:10.1378/chest.27.5.573

Cited by 7 publications

(4 citation statements)

References 8 publications

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“…The management of lung atelectasis usually requires rigid or flexible interventional bronchoscopy [3][4][5] as foreign body is frequently involved. Bronchoscopy is a high-risk procedure in this situation but is required to prevent rapid decline in pulmonary status and its associated adverse consequences.…”

Section: Discussion/conclusionmentioning

confidence: 99%

“…Asthma is the most common chronic lung condition of childhood, affecting approximately 6 million children in the United States [1]. Right middle lobe syndrome or atelectasis is common in children with asthma [2] though whole unilateral lung collapse is rare; only case series are reported [3][4][5]. Management usually include bronchoscopy in addition to medical management of asthma and its reason for exacerbation.…”

Section: Introductionmentioning

confidence: 99%

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Total Unilateral Lung Atelectasis in a Child with Asthma and Its Rapid Resolution with Medical Management without Any Invasive Intervention: A Case Report

AlHamdani¹,

Nadeem²

2019

Case Rep Acute Med

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Asthma is the most common chronic lung condition of childhood affecting approximately 6 million children in the United States. Right middle lobe syndrome or atelectasis is common in children with asthma though whole unilateral lung collapse is rare; only case series are reported. Bronchoscopy is usually required in addition to medical management of asthma and treatment of infection. We present a case of unilateral lung atelectasis in a young child which resolved with intense medical management without any endoscopy.

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Section: Discussion/conclusionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Total Unilateral Lung Atelectasis in a Child with Asthma and Its Rapid Resolution with Medical Management without Any Invasive Intervention: A Case Report

AlHamdani¹,

Nadeem²

2019

Case Rep Acute Med

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“…Six cases reported involvement of the left lung, while three showed the right lung affected. Rakower 13 With conservative treatment, improvement occurred on the average within 3 to 5 days with clearing of the lungs within 1 to 4 weeks. SUMMARY Atelectasis may be termed massive when more than one lobe is involved.…”

Section: It Is Uncommon In Adults F O R a Bronchus Proximal To The Sementioning

confidence: 99%

LXXXIII Massive Atelectasis in Bronchial Asthma

Aronsohn¹,

Pressman²

1958

Ann Otol Rhinol Laryngol

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Bronchial asthma is a common form of acute or chronic bron chial inflammation usually of allergic origin. It is present in 2 to 5 per cent of the whole population of the United States with the inci dence in children roughly the same.Patchy transient atelectasis is a frequent complication of chronic asthma; 12 however, massive pulmonary collapse as a complication of asthma is a very rare condition. Only 12 documented cases of non traumatic and nonoperative massive atelectasis are found in the English language literature. 3 · 4,,ι,7!,1 '' The purpose of this paper is to present another case and review the literature of this uncommon sequela of asthma. REPORT OF A CASEE.W., a 10 J/2 year old white female, was admitted to the UCLA Hospital on December 12, 1957, with a history of difficult breathing and left chest pain of 48 hours' duration. There was a history of bronchial asthma since the age of 18 months, which was not severe. The patient had been treated with bronchodilator inhalant during the last six months and had little difficulty.She did not require epinephrine injections. Two days prior to admission she developed a sore throat, unproductive cough, dyspnea and pain across the anterior and posterior chest walls. She vomited a small amount after the onset of chest pain. There was no recent wheezing and no history of foreign body aspiration. Physical Examination.Physical examination revealed a welldeveloped, and well-nourished white female child in moderate respira tory distress. Temperature was 37.9 C, pulse 140 and respirations 48. The pharynx and tonsillar pillars showed moderate erythema. She

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“…The middle lobe is most frequently involved (Dees and Spock, 1966;Wittig and Chang, 1967). Massive atelectasis involving more than one lobe (Brashear et al, 1973) is rare (Aronsohn and Pressman, 1958;Rakower et al, 1955) and collapse of an entire lung has been reported very infrequently. …”

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confidence: 99%

Unilateral pulmonary collapse in asthmatics.

Hopkirk¹,

Stark²

1978

Thorax

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. (1978). Thorax, 33,. Unilateral pulmonary collapse in asthmatics. Five asthmatic patients developed collapse of one lung. Three of the patients were children and three of the five had repeated episodes of atelectasis. Episodes of atelectasis were usually associated with localised chest pain, which was not pleuritic in character, and with breathlessness, but without wheezing. They were not related to clinically apparent respiratory infections or to deterioration of the underlying asthma. The cause is obscure, but re-expansion seems to be hastened by oral corticosteroid therapy.Atelectasis is a well-recognised complication of asthma. It is usually segmental or lobar and is said to be more frequent in children than in adults (Clarke, 1930;Hughes and Reisman, 1969;Crofton and Douglas, 1975 This girl had mild asthma from infancy until the age of 9 years but was then free of symptoms for three years. At the age of 12 she suddenly developed a fever, cough, and left-sided chest pain with no preceding wheeze or upper respiratory symptoms. Although she was breathless, no wheeze was heard, and the signs were those of collapse of the left lung. The radiograph showed collapse of the left lung with a prominent air bronchogram.There was no excess of eosinophils in the peripheral blood, and haemolytic streptococci were grown from mucopurulent sputum. The radiograph became normal after two weeks of treatment with penicillin and physiotherapy, and she remained symptom free for three months.She then developed wheeze and a cough, and a radiograph showed collapse of the lingula. Three days later there was also collapse of the left lower lobe. Prick tests against common allergens including Aspergillus fumigatus were negative, a sweat test was normal, and serum precipitins were not detected against A. fumigatus. At bronchoscopy the only abnormality seen was thick 'mucopus' in the left main bronchus. The aspirate contained no excess of eosinophils, and no fungi or bacteria were isolated on culture. The radiograph became normal after 10 days' treatment with physiotherapy and inhaled bronchodilators. She remained free of symptoms, but a chest radiograph one month later unexpectedly showed collapse of the left lower lobe, although she had no respiratory symptoms at that time. It was decided to treat this episode with corticotrophin (40 units twice weekly) and the radiograph returned to normal in three days.

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Massive Asthmatic Atelectasis

Cited by 7 publications

References 8 publications

Total Unilateral Lung Atelectasis in a Child with Asthma and Its Rapid Resolution with Medical Management without Any Invasive Intervention: A Case Report

Total Unilateral Lung Atelectasis in a Child with Asthma and Its Rapid Resolution with Medical Management without Any Invasive Intervention: A Case Report

LXXXIII Massive Atelectasis in Bronchial Asthma

Unilateral pulmonary collapse in asthmatics.

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