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Childhood recurrent pneumonia caused by endobronchial sutures: A case report

Yiheng Zan1, Hanmin Liu, Lin Zhong

  • 1West China Medical School of Sichuan University Department of Pediatric Pulmonology, West China Second University Hospital, Sichuan University Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China.

Medicine
|January 26, 2017
PubMed

Insights

Recurrent pneumonia in a child was caused by surgical sutures, a previously unreported etiology. Early bronchoscopy is crucial for diagnosing such cases in children with persistent respiratory issues.

Area of Science:

  • Pediatric Pulmonology
  • Surgical Complications

Background:

  • Recurrent pneumonia is defined as >2 episodes/year or ≥3 episodes lifetime.
  • Common causes include anatomical defects, immunodeficiency, and congenital heart disease.

Observation:

  • A school-aged girl experienced recurrent pneumonia post-trachea repair surgery.
  • Bronchoscopy identified granulation tissue around sutures in the left main bronchus.

Findings:

  • Surgical sutures were identified as the cause of recurrent pneumonia.
  • Symptom resolution occurred after suture removal.

Implications:

  • This case highlights surgical sutures as a rare cause of recurrent pneumonia in children.
  • Detailed evaluation, including bronchoscopy, is recommended for children with late-onset recurrent pneumonia.
Abstract

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