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Recurrent Plastic Bronchitis in a Child with 2009 Influenza A (H1N1) and Influenza B Virus Infection

Journal of Korean Medical Science 2012³â 27±Ç 9È£ p.1114 ~ 1119
±è¼±, Á¶È­Áø, Çѵ¿±Õ, ÃÖÀ¯´ö, ¾çÀº¼®, Á¶¿µ±¹, ¸¶Àç¼÷,
¼Ò¼Ó »ó¼¼Á¤º¸
±è¼± ( Kim Sun ) 
Chonnam National University Medical School Chonnam National University Hwasun Hospital Department of Family Medicine

Á¶È­Áø ( Cho Hwa-Jin ) 
Chonnam National University Medical School Chonnam National University Hospital Department of Pediatrics
Çѵ¿±Õ ( Han Dong-Kyun ) 
Chonnam National University Medical School Chonnam National University Hospital Department of Pediatrics
ÃÖÀ¯´ö ( Choi Yoo-Duk ) 
Chonnam National University Medical School Chonnam National University Hwasun Hospital Department of Pathology
¾çÀº¼® ( Yang Eun-Seok ) 
Chosun University School of Medicine Department of Pediatrics
Á¶¿µ±¹ ( Cho Young-Kuk ) 
Chonnam National University Medical School Chonnam National University Hospital Department of Pediatrics
¸¶Àç¼÷ ( Ma Jae-Sook ) 
Chonnam National University Medical School Chonnam National University Hospital Department of Pediatrics

Abstract


Plastic bronchitis is an uncommon disorder characterized by the formation of bronchial casts. It is associated with congenital heart disease or pulmonary disease. In children with underlying conditions such as allergy or asthma, influenza can cause severe plastic bronchitis resulting in respiratory failure. A review of the literature showed nine cases of plastic bronchitis with H1N1 including this case. We report a case of a child with recurrent plastic bronchitis with eosinophilic cast associated with influenza B infection, who had recovered from plastic bronchitis associated with an influenza A (H1N1) virus infection 5 months previously. To the best of our knowledge, this is the first case of recurrent plastic bronchitis related to influenza viral infection. If patients with influenza virus infection manifest acute respiratory distress with total lung atelectasis, clinicians should consider plastic bronchitis and early bronchoscopy should be intervened. In addition, management for underlying disease may prevent from recurrence of plastic bronchitis.

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H1N1 Subtype Influenza A Virus; Influenza B virus; Bronchitis; Bronchial Hyperreactivity

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