Case report: Unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial Tuberculosis

Endobronchial Tuberculosis is hazardous in causing circumferential narrowing of tracheobronchial tree despite the eradication of tubercle bacilli in the initial insult from Pulmonary Tuberculosis. They may present as treatment resistant bronchial asthma and pose challenge to airway management in t...

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Main Authors: Seevaunnantum, S. Praveena, Mohd. Ariff @ Ghazali, Nazhan Afeef, Wan Hassan, Wan Mohd Nazaruddin, Muhd Besari, Alwi, Nik Hassan, Nik Fariza Husna, Che Omar, Sanihah, Ali, Saedah, M.Z., Rhendra Hardy, Mat Hassan, Mohd Erham, N.M., Nik Abdullah
Format: Article
Language:English
Published: Elsevier 2017
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Online Access:http://eprints.usm.my/38416/1/Case_report_Unusual_cause_of_difficulty_in_intubation_and_ventilation.pdf
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author Seevaunnantum, S. Praveena
Mohd. Ariff @ Ghazali, Nazhan Afeef
Wan Hassan, Wan Mohd Nazaruddin
Muhd Besari, Alwi
Nik Hassan, Nik Fariza Husna
Che Omar, Sanihah
Ali, Saedah
M.Z., Rhendra Hardy
Mat Hassan, Mohd Erham
N.M., Nik Abdullah
author_facet Seevaunnantum, S. Praveena
Mohd. Ariff @ Ghazali, Nazhan Afeef
Wan Hassan, Wan Mohd Nazaruddin
Muhd Besari, Alwi
Nik Hassan, Nik Fariza Husna
Che Omar, Sanihah
Ali, Saedah
M.Z., Rhendra Hardy
Mat Hassan, Mohd Erham
N.M., Nik Abdullah
author_sort Seevaunnantum, S. Praveena
collection USM
description Endobronchial Tuberculosis is hazardous in causing circumferential narrowing of tracheobronchial tree despite the eradication of tubercle bacilli in the initial insult from Pulmonary Tuberculosis. They may present as treatment resistant bronchial asthma and pose challenge to airway management in the acute setting. We present a 25 year-old lady who was newly diagnosed bronchial asthma with a past history of Pulmonary Tuberculosis that had completed treatment. She presented with sudden onset of difficulty breathing associated with noisy breathing for 3 days and hoarseness of voice for 6 months. Due to resistant bronchospasm, attempts were made to secure the airway which led to unanticipated difficult intubation and ventilation. Subsequent investigations confirmed the diagnosis of Endobronchial Tuberculosis and patient was managed successfully with anti TB medication, corticosteroids and multiple sessions of tracheal dilatation for tracheal stenosis. This case highlights the unusual cause of difficulty in intubation and ventilation due to Endobronchial Tuberculosis, which required medical and surgical intervention to improve the condition.
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spelling usm.eprints-384162018-01-17T08:34:27Z http://eprints.usm.my/38416/ Case report: Unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial Tuberculosis Seevaunnantum, S. Praveena Mohd. Ariff @ Ghazali, Nazhan Afeef Wan Hassan, Wan Mohd Nazaruddin Muhd Besari, Alwi Nik Hassan, Nik Fariza Husna Che Omar, Sanihah Ali, Saedah M.Z., Rhendra Hardy Mat Hassan, Mohd Erham N.M., Nik Abdullah RF Otorhinolaryngology Endobronchial Tuberculosis is hazardous in causing circumferential narrowing of tracheobronchial tree despite the eradication of tubercle bacilli in the initial insult from Pulmonary Tuberculosis. They may present as treatment resistant bronchial asthma and pose challenge to airway management in the acute setting. We present a 25 year-old lady who was newly diagnosed bronchial asthma with a past history of Pulmonary Tuberculosis that had completed treatment. She presented with sudden onset of difficulty breathing associated with noisy breathing for 3 days and hoarseness of voice for 6 months. Due to resistant bronchospasm, attempts were made to secure the airway which led to unanticipated difficult intubation and ventilation. Subsequent investigations confirmed the diagnosis of Endobronchial Tuberculosis and patient was managed successfully with anti TB medication, corticosteroids and multiple sessions of tracheal dilatation for tracheal stenosis. This case highlights the unusual cause of difficulty in intubation and ventilation due to Endobronchial Tuberculosis, which required medical and surgical intervention to improve the condition. Elsevier 2017 Article PeerReviewed application/pdf en http://eprints.usm.my/38416/1/Case_report_Unusual_cause_of_difficulty_in_intubation_and_ventilation.pdf Seevaunnantum, S. Praveena and Mohd. Ariff @ Ghazali, Nazhan Afeef and Wan Hassan, Wan Mohd Nazaruddin and Muhd Besari, Alwi and Nik Hassan, Nik Fariza Husna and Che Omar, Sanihah and Ali, Saedah and M.Z., Rhendra Hardy and Mat Hassan, Mohd Erham and N.M., Nik Abdullah (2017) Case report: Unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial Tuberculosis. Respiratory Medicine Case Reports, 22. pp. 292-294. ISSN 2213-0071 https://doi.org/10.1016/j.rmcr.2017.10.011
spellingShingle RF Otorhinolaryngology
Seevaunnantum, S. Praveena
Mohd. Ariff @ Ghazali, Nazhan Afeef
Wan Hassan, Wan Mohd Nazaruddin
Muhd Besari, Alwi
Nik Hassan, Nik Fariza Husna
Che Omar, Sanihah
Ali, Saedah
M.Z., Rhendra Hardy
Mat Hassan, Mohd Erham
N.M., Nik Abdullah
Case report: Unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial Tuberculosis
title Case report: Unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial Tuberculosis
title_full Case report: Unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial Tuberculosis
title_fullStr Case report: Unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial Tuberculosis
title_full_unstemmed Case report: Unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial Tuberculosis
title_short Case report: Unusual cause of difficulty in intubation and ventilation with asthmatic-like presentation of Endobronchial Tuberculosis
title_sort case report unusual cause of difficulty in intubation and ventilation with asthmatic like presentation of endobronchial tuberculosis
topic RF Otorhinolaryngology
url http://eprints.usm.my/38416/1/Case_report_Unusual_cause_of_difficulty_in_intubation_and_ventilation.pdf
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