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KMID : 1040320180250020101
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Pediatric Infection & Vaccine
2018 Volume.25 No. 2 p.101 ~ p.106
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A Case of Plastic Bronchitis Associated Influenza A Pneumonia Requiring ECMO Assistance
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An Hong-Yul
Baek Seung-Min
Choi Youn-Young
Kim You-Sun
Lee Eui-Jun
Choi Yu-Hyeon
Choi Yun-Jung
Suh Dong-In
Kwak Jae-Gun
Kim Woong-Han
Park June-Dong
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Abstract
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A 6-year-old boy with underlying hemolytic anemia of unknown etiology, atopic dermatitis, and recurrent urticaria visited our hospital because of acute respiratory failure induced by influenza A. Despite mechanical ventilation after endotracheal intubation along with inhalation of nitric oxide, respiratory acidosis and hypoxemia persisted. Veno-venous extracorporeal membrane oxygenation (VV ECMO) insertion was performed to provide respiratory support. After performing flexible bronchoscopy, we found that thick mucus plugs were obstructing the right bronchus intermedius and the upper lobe orifice. After bronchial washing and removal of the plugs, we were able to wean the patient off VV ECMO and transfer him to the general ward. He was discharged without any neurologic or pulmonary sequelae.
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KEYWORD
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Bronchitis, Mucus, Influenza A virus, Extracorporeal membrane oxygenation, Bronchoscopy
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