Infant in extremis: respiratory failure secondary to lower airway infantile hemangioma

BMC Pediatrics

Case Report

Peggy Han¹  Michael S. Freedman¹  Sarah Y. Afzal²  Matthew S. MacDougall² 

[1] Lucile Packard Children’s Hospital, Palo Alto, California, USA;Stanford University School of Medicine, Department of Pediatrics, Division of Pediatric Critical Care Medicine, Palo Alto, California, USA;Lucile Packard Children’s Hospital, Palo Alto, California, USA;Stanford University School of Medicine, Department of Pediatrics, Palo Alto, California, USA;

关键词: Vascular malformation;    Bronchial compression;    Dermatology;    Otolaryngology;    Case report;   

DOI  :  10.1186/s12887-022-03821-1

 received in 2022-08-27, accepted in 2022-12-24,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundInfantile hemangiomas (IHs) are vascular tumors that commonly affect infants and usually regress spontaneously or can be easily treated as an outpatient with topical beta-blockers. However, IHs that present in the airway may cause life-threatening symptoms due to airway obstruction or risk of bleeding. Here we present the first documented case of an infant with rapid deterioration and acute respiratory failure secondary to a lower airway hemangioma.Case presentationThis 3-month-old male initially presented in respiratory distress with symptoms consistent with a viral respiratory infection, however showed no clinical improvement with standard therapies. An urgent CT scan revealed a mass occluding the right mainstem bronchus. Upon transfer to a tertiary care facility, he developed acute respiratory failure requiring emergent intubation and single lung ventilation. The availability of multiple subspecialists allowed for stabilization of a critically ill child, expedited diagnosis, and ultimately initiation of life-saving treatment with beta blockers. After 17 total hospital days, he was extubated successfully and discharged home in good condition.ConclusionsWhile IH is a rare cause of infantile respiratory distress, we present multiple pearls for the general pediatrician for management of IHs of the airway.

【 授权许可】

CC BY   
© The Author(s) 2022

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