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Bronchogenic cyst -cause of refractory wheezing in infancy
Tonny Mampilly1, Reena Kurian1, Anuradha Shenai1
1Department of Pediatrics and Neonatology, PVS Memorial Hospital Ltd, Kaloor, Kochi, 682017, Kerala.
Insights
Persistent wheezing in infants and children can indicate serious congenital lesions. Early diagnosis and treatment, like removing a peanut and a bronchogenic cyst, are crucial for symptom resolution.
Area of Science:
- Pediatric Pulmonology
- Thoracic Surgery
- Congenital Abnormalities
Background:
- Recurrent wheezing is a common pediatric respiratory issue.
- Severe, refractory wheezing episodes necessitate thorough investigation.
- Peanut aspiration can mimic or exacerbate underlying conditions.
Purpose of the Study:
- To highlight the importance of investigating congenital lesions in persistent pediatric wheezing.
- To present a case of a child with refractory wheezing due to peanut aspiration and an underlying bronchogenic cyst.
Main Methods:
- Case report of a 1.5-year-old male child.
- Initial management included bronchoscopy for peanut removal.
- Further evaluation revealed a bronchogenic cyst, followed by surgical excision.
Main Results:
- Peanut removal provided temporary relief.
- Surgical excision of the bronchogenic cyst led to symptomatic improvement.
- The patient's refractory wheezing resolved post-cyst removal.
Conclusions:
- Congenital lesions, such as bronchogenic cysts, should be considered in the differential diagnosis of persistent and refractory wheezing in infants and children.
- Prompt and comprehensive evaluation is essential for accurate diagnosis and effective management.
Abstract:
A 11/2-year-old male child with past history of recurrent wheezing presented with a severe and refractory episode following a peanut aspiration. A bronchoscopy was done and the peanut removed. However, as the wheezing persisted a detailed evaluation was done which revealed a bronchogenic cyst. Surgical excision of the cyst was done and the child improved symptomatically. Congenital lesions need to be ruled out in infants and children with persistent and refractory wheezing.