[Wheezing and cough related to congenital airway abnormalities in young infants].
Two girls developed symptoms of wheezing which started shortly after birth. The symptoms did not respond to bronchodilators. At the age of 5 months, the first infant developed severe respiratory distress with decreased left-sided breathing sounds on auscultation. The chest X-ray showed left-sided hyperinflation. Bronchoscopy revealed isolated malacia of the left main stem bronchus. The second patient, who had a history ofcor vitium, was referred to a paediatric pulmonologist in an academic hospital for chronic coughing and wheezing. Bronchoscopy and CT angiogram, performed at the age of 14 months, revealed tracheal malacia due to compression from a right descending aortic arch. Broncho- and tracheomalacia are disorders which may rarely result in severe respiratory distress. These disorders should be considered when unexplained symptoms of wheezing or coughing are present in young infants, especially if the symptoms start shortly after birth and persist without signs of viral infection.
van Veen
M
M
St Antonius Ziekenhuis, afd Kindergeneeskunde, Nieuwegein. m.vanveen@erasmusmc.nl
Balemans
W A F
WA
Schipper
J A
JA
Arets
H G M
HG
D001980:Bronchi / Q000002:abnormalities*; D001982:Bronchial Diseases / Q000151:congenital* / Q000175:diagnosis; D001999:Bronchoscopy / Q000379:methods; D000013:Congenital Abnormalities / Q000175:diagnosis; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000209:etiology*; D012135:Respiratory Sounds / Q000209:etiology*; D014132:Trachea / Q000002:abnormalities*; D014133:Tracheal Diseases / Q000151:congenital* / Q000175:diagnosis