The Important Role of Endoscopy in Management of Pediatric Pseudomembranous Necrotizing Tracheitis

Frontiers in Pediatrics

article

Xiling Wu¹  Lei Wu¹  Zhimin Chen¹ 

[1] Department of Pulmonology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health

关键词: necrotizing tracheitis;    endoscopy;    airway obstruction;    mechanical debridement;    pediatric;   

DOI  :  10.3389/fped.2020.00360

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Pseudomembranous necrotizing tracheitis is a rare, but life-threatening cause of central airway obstruction. Here, we reported three cases of pediatric pseudomembranous necrotizing tracheitis. The infectious etiologies were Staphylococcus aureus secondary to influenza A virus and Aspergillus fumigatus . Endoscopy was used in diagnosis and management of all patients and two patients survived. The improvement in mortality rate of these diseases need early recognition and prompt treatment with mechanical debridement by endoscope and early initiation of broad spectrum antibiotics. Endoscopy is a promising tool to diagnose and remove the pseudomembrane, therefore relieving central airway obstruction.

【 授权许可】

CC BY