دورية أكاديمية
Tracheitis – A Rare Extra-Intestinal Manifestation of Ulcerative Colitis in Children
العنوان: | Tracheitis – A Rare Extra-Intestinal Manifestation of Ulcerative Colitis in Children |
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المؤلفون: | Isabel Serra Nunes, Marlene Abreu, Susana Corujeira, Juliana Oliveira, Marta Tavares, Cristina Rocha, Joanne Lopes, Fátima Carneiro, Jorge Amil Dias, Eunice Trindade |
المصدر: | GE: Portuguese Journal of Gastroenterology, Vol 23, Iss 5, Pp 259-263 (2016) |
بيانات النشر: | Karger Publishers, 2016. |
سنة النشر: | 2016 |
المجموعة: | LCC:Diseases of the digestive system. Gastroenterology |
مصطلحات موضوعية: | Child, Colitis, Ulcerative/complications, Tracheitis/etiology, Diseases of the digestive system. Gastroenterology, RC799-869 |
الوصف: | Introduction: Inflammatory bowel disease may cause both intestinal and extraintestinal manifestations. Respiratory symptoms in ulcerative colitis are rare and tracheal involvement is exceedingly rare in children. Case 1: Sixteen year-old female with a 4-week-complaint of abdominal pain, bloody diarrhea, fever and cough. The investigation was consistent with the diagnosis of concomitant ulcerative colitis/coinfection to Escherichia coli. On day 4 respiratory signs persisted so azithromycin and inhaled corticosteroids were added. By day 6 she progressed to respiratory failure and was diagnosed with necrotic tracheitis so started on intravenous steroids with fast clinical improvement. Case 2: Twelve-year-old male adolescent with ulcerative colitis and sclerosing cholangitis started dry cough and throat pain 10 days after diagnosis. Laboratory investigations showed increased inflammatory signs and normal chest X-ray. He started treatment with azithromycin without clinical improvement and on day five he presented dyspnea and fever. Laryngeal fibroscopy suggested tracheitis and so systemic steroids where added with fast clinical and analytic improvement. Discussion: Tracheitis should be suspected if there are persistent respiratory symptoms even when exams are normal. Early recognition and early treatment are essential for a good prognosis preventing progression to respiratory failure. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2341-4545 |
Relation: | http://www.sciencedirect.com/science/article/pii/S2341454516300175; https://doaj.org/toc/2341-4545 |
DOI: | 10.1016/j.jpge.2016.03.002 |
URL الوصول: | https://doaj.org/article/4cb7270120da47f89715b952ba6bb3b5 |
رقم الأكسشن: | edsdoj.4cb7270120da47f89715b952ba6bb3b5 |
قاعدة البيانات: | Directory of Open Access Journals |
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