Recurrent Wheezing in Pre-school Age: Not Only Airway Reactivity!
Background: About a fifth of all mediastinal masses are primary cysts arising in the absence of other underlying pathology. Bronchogenic cysts, although rare, are the most frequent type responsible for lower airways compression as they often develop in the peripheral branches of the tracheobronchial...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-03-01
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| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/article/10.3389/fped.2020.00101/full |
| _version_ | 1829100202723639296 |
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| author | Marco Roversi Federica Porcaro Paola Francalanci Adriano Carotti Renato Cutrera |
| author_facet | Marco Roversi Federica Porcaro Paola Francalanci Adriano Carotti Renato Cutrera |
| author_sort | Marco Roversi |
| collection | DOAJ |
| description | Background: About a fifth of all mediastinal masses are primary cysts arising in the absence of other underlying pathology. Bronchogenic cysts, although rare, are the most frequent type responsible for lower airways compression as they often develop in the peripheral branches of the tracheobronchial tree.Case presentation: We report the case of a 6-months-old child admitted for acute respiratory distress and wheezing not responsive to asthma treatment. Digestive and airway endoscopy proved a mild and a marked reduction of the esophageal and tracheal lumen, respectively. The nocturnal polygraphy showed an underlying obstructive disorder and the chest CT scan confirmed the presence of a wide mediastinal cyst compressing the trachea. The mass, later identified as a bronchogenic cyst, was surgically removed with complete resolution of the patient's respiratory symptoms.Discussion: Our case shows that differential diagnosis of wheezing in pre-school aged children should encompass causes others than airway reactivity, thus prompting further evaluation and management. |
| first_indexed | 2024-12-10T22:28:39Z |
| format | Article |
| id | doaj.art-06d94238cf614261ad8ba9a6be2cf464 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-10T22:28:39Z |
| publishDate | 2020-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-06d94238cf614261ad8ba9a6be2cf4642022-12-22T01:31:06ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602020-03-01810.3389/fped.2020.00101514413Recurrent Wheezing in Pre-school Age: Not Only Airway Reactivity!Marco Roversi0Federica Porcaro1Paola Francalanci2Adriano Carotti3Renato Cutrera4Academic Department, University of Rome Tor Vergata, Rome, ItalyPaediatric Pulmonology and Respiratory Intermediate Care Unit, Sleep and Long-Term Ventilation Unit, Academic Department of Paediatrics, Research Institute, Bambino Gesù Children's Hospital, Rome, ItalyDepartment of Pathology, Research Institute, Bambino Gesù Children's Hospital, Rome, ItalyUnit of Pediatric Cardiac Surgery, Research Institute, Bambino Gesù Children's Hospital, Rome, ItalyPaediatric Pulmonology and Respiratory Intermediate Care Unit, Sleep and Long-Term Ventilation Unit, Academic Department of Paediatrics, Research Institute, Bambino Gesù Children's Hospital, Rome, ItalyBackground: About a fifth of all mediastinal masses are primary cysts arising in the absence of other underlying pathology. Bronchogenic cysts, although rare, are the most frequent type responsible for lower airways compression as they often develop in the peripheral branches of the tracheobronchial tree.Case presentation: We report the case of a 6-months-old child admitted for acute respiratory distress and wheezing not responsive to asthma treatment. Digestive and airway endoscopy proved a mild and a marked reduction of the esophageal and tracheal lumen, respectively. The nocturnal polygraphy showed an underlying obstructive disorder and the chest CT scan confirmed the presence of a wide mediastinal cyst compressing the trachea. The mass, later identified as a bronchogenic cyst, was surgically removed with complete resolution of the patient's respiratory symptoms.Discussion: Our case shows that differential diagnosis of wheezing in pre-school aged children should encompass causes others than airway reactivity, thus prompting further evaluation and management.https://www.frontiersin.org/article/10.3389/fped.2020.00101/fullpediatricswheezingasthmatic bronchitisbronchogenic cystairways abnormalities |
| spellingShingle | Marco Roversi Federica Porcaro Paola Francalanci Adriano Carotti Renato Cutrera Recurrent Wheezing in Pre-school Age: Not Only Airway Reactivity! Frontiers in Pediatrics pediatrics wheezing asthmatic bronchitis bronchogenic cyst airways abnormalities |
| title | Recurrent Wheezing in Pre-school Age: Not Only Airway Reactivity! |
| title_full | Recurrent Wheezing in Pre-school Age: Not Only Airway Reactivity! |
| title_fullStr | Recurrent Wheezing in Pre-school Age: Not Only Airway Reactivity! |
| title_full_unstemmed | Recurrent Wheezing in Pre-school Age: Not Only Airway Reactivity! |
| title_short | Recurrent Wheezing in Pre-school Age: Not Only Airway Reactivity! |
| title_sort | recurrent wheezing in pre school age not only airway reactivity |
| topic | pediatrics wheezing asthmatic bronchitis bronchogenic cyst airways abnormalities |
| url | https://www.frontiersin.org/article/10.3389/fped.2020.00101/full |
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