Recurrent Lower Respiratory Tract Infection in a Renal Allograft Recipient: A Rare Case of Tracheobronchomegaly (Mounier-Kuhn Syndrome)
Mounier-Kuhn syndrome (MKS), also known as tracheobronchomegaly (TBM), is a rare disorder characterized by marked dilatation of the trachea and proximal bronchi. We hereby present a case of MKS in a 40-year-old renal transplant recipient. He had multiple admissions in the recent past for lower respi...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Indian Journal of Transplantation |
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| Online Access: | https://journals.lww.com/10.4103/ijot.ijot_75_24 |
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| author | Monideep Saha Deepak Panigrahi Dinesh Khullar Kulwant Singh Abhishek Singh Ajay Lall |
| author_facet | Monideep Saha Deepak Panigrahi Dinesh Khullar Kulwant Singh Abhishek Singh Ajay Lall |
| author_sort | Monideep Saha |
| collection | DOAJ |
| description | Mounier-Kuhn syndrome (MKS), also known as tracheobronchomegaly (TBM), is a rare disorder characterized by marked dilatation of the trachea and proximal bronchi. We hereby present a case of MKS in a 40-year-old renal transplant recipient. He had multiple admissions in the recent past for lower respiratory tract infections. During recent admission for lobar pneumonia, he continued to exhibit respiratory symptoms including cough and fever, despite culture-sensitive antibiotics. Imaging studies revealed tracheal and bronchial dilatation with right lower lobe consolidation. Bronchoscopy confirmed TBM and severe excessive dynamic airway collapse. Mucolytics, chest physiotherapy, and intermittent continuous positive airway pressure were game changers in this case. This case highlights the importance of recognizing structural lung pathology in solid organ transplant recipients presenting with recurrent respiratory tract infections. |
| format | Article |
| id | doaj-art-ab044db781b44958a455886fabff1062 |
| institution | Kabale University |
| issn | 2212-0017 2212-0025 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Transplantation |
| spelling | doaj-art-ab044db781b44958a455886fabff10622025-01-07T06:12:53ZengWolters Kluwer Medknow PublicationsIndian Journal of Transplantation2212-00172212-00252024-12-0118447647810.4103/ijot.ijot_75_24Recurrent Lower Respiratory Tract Infection in a Renal Allograft Recipient: A Rare Case of Tracheobronchomegaly (Mounier-Kuhn Syndrome)Monideep SahaDeepak PanigrahiDinesh KhullarKulwant SinghAbhishek SinghAjay LallMounier-Kuhn syndrome (MKS), also known as tracheobronchomegaly (TBM), is a rare disorder characterized by marked dilatation of the trachea and proximal bronchi. We hereby present a case of MKS in a 40-year-old renal transplant recipient. He had multiple admissions in the recent past for lower respiratory tract infections. During recent admission for lobar pneumonia, he continued to exhibit respiratory symptoms including cough and fever, despite culture-sensitive antibiotics. Imaging studies revealed tracheal and bronchial dilatation with right lower lobe consolidation. Bronchoscopy confirmed TBM and severe excessive dynamic airway collapse. Mucolytics, chest physiotherapy, and intermittent continuous positive airway pressure were game changers in this case. This case highlights the importance of recognizing structural lung pathology in solid organ transplant recipients presenting with recurrent respiratory tract infections.https://journals.lww.com/10.4103/ijot.ijot_75_24excessive dynamic airway collapselower respiratory tract infectionmounier-kuhn syndromerenal allograft recipienttracheobronchomegaly |
| spellingShingle | Monideep Saha Deepak Panigrahi Dinesh Khullar Kulwant Singh Abhishek Singh Ajay Lall Recurrent Lower Respiratory Tract Infection in a Renal Allograft Recipient: A Rare Case of Tracheobronchomegaly (Mounier-Kuhn Syndrome) Indian Journal of Transplantation excessive dynamic airway collapse lower respiratory tract infection mounier-kuhn syndrome renal allograft recipient tracheobronchomegaly |
| title | Recurrent Lower Respiratory Tract Infection in a Renal Allograft Recipient: A Rare Case of Tracheobronchomegaly (Mounier-Kuhn Syndrome) |
| title_full | Recurrent Lower Respiratory Tract Infection in a Renal Allograft Recipient: A Rare Case of Tracheobronchomegaly (Mounier-Kuhn Syndrome) |
| title_fullStr | Recurrent Lower Respiratory Tract Infection in a Renal Allograft Recipient: A Rare Case of Tracheobronchomegaly (Mounier-Kuhn Syndrome) |
| title_full_unstemmed | Recurrent Lower Respiratory Tract Infection in a Renal Allograft Recipient: A Rare Case of Tracheobronchomegaly (Mounier-Kuhn Syndrome) |
| title_short | Recurrent Lower Respiratory Tract Infection in a Renal Allograft Recipient: A Rare Case of Tracheobronchomegaly (Mounier-Kuhn Syndrome) |
| title_sort | recurrent lower respiratory tract infection in a renal allograft recipient a rare case of tracheobronchomegaly mounier kuhn syndrome |
| topic | excessive dynamic airway collapse lower respiratory tract infection mounier-kuhn syndrome renal allograft recipient tracheobronchomegaly |
| url | https://journals.lww.com/10.4103/ijot.ijot_75_24 |
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