Unusually large sized bronchial cast/mucus plug after extubation leading to whole lung collapse-consolidation: a rare case report

Authors

  • Virendra Kr. Goyal Department of Internal Medicine, Jeevan Rekha Critical Care and Trauma Hospital, Jagatpura, Jaipur, Rajasthan, India
  • Anamika Chaudhary Department of Intensive Care, Jeevan Rekha Critical Care and Trauma Hospital, Jagatpura, Jaipur, Rajasthan, India
  • Narendra Rungta Department of Intensive Care, Jeevan Rekha Critical Care and Trauma Hospital, Jagatpura, Jaipur, Rajasthan, India

Keywords:

Bronchial cast/mucus plug, Bronchoscopy, Chest physiotherapy, Post-extubation collapse, Spasmodic episodes

Abstract

A critically ill patient of enteric encephalopathy with tetanus was hospitalized in a tertiary care ICU and intubated, put on ventilator. Patient had a whole lung collapse-consolidation developed just after extubation and noticed on physical examination and roentgenogram. After extensive chest physiotherapy a long and thick bronchial cast was removed and chest improved markedly thereafter.

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Published

2017-02-10

Issue

Vol. 1 No. 1 (2014): April-June 2014

Section

Case Reports