PEDIATRICS Vol. 77 No. 3 March 1986, pp. 366-368
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Necrotizing Tracheobronchitis: Case Report

Francis Mimouni MD1, Jeanne L. Ballard MD1, Edgar T. Ballard MD1, and Robin T. Cotton MD1

1 The Division of Neonatology, Crosley Memorial Nursery, Division of Pediatric Pathology, Departments of Otolaryngology and of Pediatrics, The University of Cincinnati College of Medicine, and Children's Hospital Research Foundation, Cincinnati

A 33-week-gestation infant with respiratory distress syndrome is reported. At five days of age, acute life-threatening tracheal obstruction occurred, which was relieved after removal of a plug during bronchoscopy. Histologic examination of the plug revealed partially necrotic tracheal mucosa, compatible with the diagnosis of necrotizing tracheobronchitis. At 31 days of age, obstruction recurred due to the development of a tracheal stricture, which resolved after tracheal reintubation (to maintain patency) and corticosteroid therapy. Tracheal stricture may be a long-term complication of necrotizing tracheobronchitis, when the initial episode does not lead to death from obstruction.

Key Words: respiratory distress syndrome • mechanical ventilation • iatrogenic lesion • necrotizing tracheobronchitis • tracheal stricture

Submitted on February 11, 1985
Accepted on May 10, 1985