Tracheal bronchus in an 11-month-old infant

October 23, 2013
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Pediatric Otolaryngology Clinic

The possibility of a tracheal bronchus should be entertained when a patient presents with recurrent right upper lobe pneumonia or right upper lobe collapse.

An 11-month-old infant boy presented to the otolaryngology service for evaluation of recurrent acute otitis media, persistent middle ear effusions, and reactive airway disease. He was a former 33-week premature infant with a cardiac history of patent foramen ovale and had been intubated for 1 week after birth. Over the subsequent 11 months, he had intermittent wheezing thought to be due to reactive airway disease, which was treated with nebulizers.

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