Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Obstructive Fibrinous Tracheal Pseudomenbrane Mimicking Tracheal Stents

  • Kim, Ju-Sang (Division of Pulmonology, Critical Care Medicine, Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Yu, Ji-Hyun (Division of Pulmonology, Critical Care Medicine, Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Yu-Seung (Division of Pulmonology, Critical Care Medicine, Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Il (Division of Pulmonology, Critical Care Medicine, Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Ahn, Joong-Hyun (Division of Pulmonology, Critical Care Medicine, Department of Internal Medicine, The Catholic University of Korea College of Medicine)
  • Received : 2011.04.27
  • Accepted : 2011.06.28
  • Published : 2011.07.30
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Abstract

Obstructive Fibrinous Tracheal Pseudomenbrane (OFTP) is a rarely known but potentially fatal complication of endotracheal intubation. Sudden respiratory failure shortly after extubation is not infrequent in the ICU. However, these cases are commonly diagnosed as laryngospasm, retention of secretion or laryngeal edema. A 68-year-old woman presented with a 6-day history of progressive dyspnea. She had undergone invasive ventilator care for 24 hours. The patient was discharged from the hospital with improvement after having an extubation. However, after 3 days she revisited the emergency department with progressive dyspnea. The patient was diagnosed with OFTP from the results of chest CT and bronchoscopy. This is the first case studied in detail using CT images, pulmonary function test, and bronchoscopy.

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References

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