RT Journal Article
SR Electronic
T1 Prolonged High-Frequency Oscillatory Ventilation in Tubercular Multifocal Cystic Lung Disease
JF Respiratory Care
FD American Association for Respiratory Care
SP 2111
OP 2114
DO 10.4187/respcare.01749
VO 57
IS 12
A1 Nivedita Mohari
A1 Dinesh Raj
A1 Rakesh Lodha
A1 Sushil K Kabra
YR 2012
UL http://rc.rcjournal.com/content/57/12/2111.abstract
AB Multifocal cystic lung disease in infants is most commonly congenital, and is managed surgically with perioperative mechanical ventilation. Multifocal cystic lung disease in infants may be due to tuberculosis. We report a young infant with tubercular multifocal cystic lung disease and respiratory failure. The initial chest imaging revealed diffuse nodular infiltrates. Soon after admission he required conventional mechanical ventilation for respiratory failure. The bronchoalveolar lavage fluid grew Mycobacterium tuberculosis in culture. Subsequent chest imaging showed progression to multifocal cystic lung disease. The ventilation mode was changed to high-frequency oscillatory ventilation (HFOV) due to persistent CO2 retention in the presence of cystic lung disease. The cystic lung disease reversed with antitubercular treatment and prolonged HFOV with slow wean.