Unexplained disabling and long-lasting cough: a case report
Abstract Background A 51-year-old woman was referred to our department due to chronic dry cough lasting six years without an etiological diagnosis. The patient suffered from chronic deterioration in her quality of life due to a persistent cough that sounded like a barking seal. Case presentation A s...
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| Format: | Article |
| Language: | English |
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BMC
2024-12-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-024-03189-6 |
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| author | Francesco Ferrante Ilaria Onorati Dana Mihaela Radu Aurélie Herve-Carrega Morgane Didier Olivier Huet Emmanuel Martinod |
| author_facet | Francesco Ferrante Ilaria Onorati Dana Mihaela Radu Aurélie Herve-Carrega Morgane Didier Olivier Huet Emmanuel Martinod |
| author_sort | Francesco Ferrante |
| collection | DOAJ |
| description | Abstract Background A 51-year-old woman was referred to our department due to chronic dry cough lasting six years without an etiological diagnosis. The patient suffered from chronic deterioration in her quality of life due to a persistent cough that sounded like a barking seal. Case presentation A severe form of malacia involving the inferior third of trachea and the main bronchi was diagnosed. According to our protocol, a self-expandable prothesis was placed in the distal portion of the trachea via rigid bronchoscopy with excellent results in cough relief. The patient was subsequently scheduled for tracheobronchoplastic surgery with a polypropylene matrix. Two and a half years after surgery the patient had a significant improvement in quality of life with a complete resolution of her symptoms. Conclusion This report demonstrated that tracheobronchomalacia can be difficult to diagnose with a serious impact on the patient’s life. Referral to a specialized center is essential in the diagnostic and therapeutic management of this disease. Surgical treatment by tracheobronchoplasty may represent a good solution in selected patients. |
| format | Article |
| id | doaj-art-6d4ccef3bf444d4b93d3769c69cdfbb5 |
| institution | Kabale University |
| issn | 1749-8090 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-6d4ccef3bf444d4b93d3769c69cdfbb52024-12-22T12:47:19ZengBMCJournal of Cardiothoracic Surgery1749-80902024-12-011911510.1186/s13019-024-03189-6Unexplained disabling and long-lasting cough: a case reportFrancesco Ferrante0Ilaria Onorati1Dana Mihaela Radu2Aurélie Herve-Carrega3Morgane Didier4Olivier Huet5Emmanuel Martinod6Chirurgie Thoracique et Vasculaire, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris Seine-Saint-Denis, Hôpital Avicenne, Université Sorbonne Paris NordChirurgie Thoracique et Vasculaire, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris Seine-Saint-Denis, Hôpital Avicenne, Université Sorbonne Paris NordChirurgie Thoracique et Vasculaire, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris Seine-Saint-Denis, Hôpital Avicenne, Université Sorbonne Paris NordPneumologie, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris Seine-Saint-Denis, Hôpital Avicenne, Université Sorbonne Paris NordPneumologie, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris Seine-Saint-Denis, Hôpital Avicenne, Université Sorbonne Paris NordDépartement d’Anesthésie Réanimation et Médecine Péri-opératoire, CHRU Brest, Université de Bretagne occidentaleChirurgie Thoracique et Vasculaire, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris Seine-Saint-Denis, Hôpital Avicenne, Université Sorbonne Paris NordAbstract Background A 51-year-old woman was referred to our department due to chronic dry cough lasting six years without an etiological diagnosis. The patient suffered from chronic deterioration in her quality of life due to a persistent cough that sounded like a barking seal. Case presentation A severe form of malacia involving the inferior third of trachea and the main bronchi was diagnosed. According to our protocol, a self-expandable prothesis was placed in the distal portion of the trachea via rigid bronchoscopy with excellent results in cough relief. The patient was subsequently scheduled for tracheobronchoplastic surgery with a polypropylene matrix. Two and a half years after surgery the patient had a significant improvement in quality of life with a complete resolution of her symptoms. Conclusion This report demonstrated that tracheobronchomalacia can be difficult to diagnose with a serious impact on the patient’s life. Referral to a specialized center is essential in the diagnostic and therapeutic management of this disease. Surgical treatment by tracheobronchoplasty may represent a good solution in selected patients.https://doi.org/10.1186/s13019-024-03189-6TracheomalaciaTracheobronchoplastyTracheobronchomalaciaRigid bronchoscopyEDAC |
| spellingShingle | Francesco Ferrante Ilaria Onorati Dana Mihaela Radu Aurélie Herve-Carrega Morgane Didier Olivier Huet Emmanuel Martinod Unexplained disabling and long-lasting cough: a case report Journal of Cardiothoracic Surgery Tracheomalacia Tracheobronchoplasty Tracheobronchomalacia Rigid bronchoscopy EDAC |
| title | Unexplained disabling and long-lasting cough: a case report |
| title_full | Unexplained disabling and long-lasting cough: a case report |
| title_fullStr | Unexplained disabling and long-lasting cough: a case report |
| title_full_unstemmed | Unexplained disabling and long-lasting cough: a case report |
| title_short | Unexplained disabling and long-lasting cough: a case report |
| title_sort | unexplained disabling and long lasting cough a case report |
| topic | Tracheomalacia Tracheobronchoplasty Tracheobronchomalacia Rigid bronchoscopy EDAC |
| url | https://doi.org/10.1186/s13019-024-03189-6 |
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