Case report: unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial Tuberculosis

Seevaunnamtum, S. Praveenaseeva and Mohd Ariff@Ghazali, Nazhan Afeef and Wan Hassan, Wan Mohd Nazaruddin and Muhd Besari, Alwi and Nik Hassan, Nik Fariza Husna and Che Omar, Sanihah and Ali, Saedah and Mohd Zain, Rhendra Hardy and Mat Hassan, Mohd Erham and Nik Mohamad, Nik Abdullah (2017) Case report: unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial Tuberculosis. Respiratory Medicine Case Reports, 22. pp. 292-294. ISSN 2213-0071

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Abstract

Endobronchial Tuberculosis is hazardous in causing circumferential narrowing of tracheobronchial tree despitethe eradication of tubercle bacilli in the initial insult from Pulmonary Tuberculosis. They may present astreatment resistant bronchial asthma and pose challenge to airway management in the acute setting. We presenta 25 year-old lady who was newly diagnosed bronchial asthma with a past history of Pulmonary Tuberculosisthat had completed treatment. She presented with sudden onset of difficulty breathing associated with noisybreathing for 3 days and hoarseness of voice for 6 months. Due to resistant bronchospasm, attempts were madeto secure the airway which led to unanticipated difficult intubation and ventilation. Subsequent investigationsconfirmed the diagnosis of Endobronchial Tuberculosis and patient was managed successfully with anti TBmedication, corticosteroids and multiple sessions of tracheal dilatation for tracheal stenosis. This case highlightsthe unusual cause of difficulty in intubation and ventilation due to Endobronchial Tuberculosis, which requiredmedical and surgical intervention to improve the condition.

Item Type:	Article (Case Report)
Additional Information:	6961/83673
Uncontrolled Keywords:	Endobronchial tuberculosis, Bronchospasm, Subglottic stenosis, Bronchial asthma
Subjects:	R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Anaesthesiology & Intensive Care
Depositing User:	Doctor Nazhan Afeef Mohd. Ariff @ Ghazali
Date Deposited:	16 Oct 2020 16:18
Last Modified:	16 Oct 2020 16:18
URI:	http://irep.iium.edu.my/id/eprint/83673

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