Tracheitis: A Rare Extra-Intestinal Manifestation of Ulcerative Colitis in Children
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452016000500006 |
Resumo: | Introduction: Inflammatory bowel disease may cause both intestinal and extraintestinal manifestations. Respiratory symptoms in ulcerative colitis are rare and tracheal involvement is exceedingly rare in children. Case 1: Sixteen year-old female with a 4-week-complaint of abdominal pain, bloody diarrhea, fever and cough. The investigation was consistent with the diagnosis of concomitant ulcerative colitis/coinfection to Escherichia coli. On day 4 respiratory signs persisted so azithromycin and inhaled corticosteroids were added. By day 6 she progressed to respiratory failure and was diagnosed with necrotic tracheitis so started on intravenous steroids with fast clinical improvement. Case 2: Twelve-year-old male adolescent with ulcerative colitis and sclerosing cholangitis started dry cough and throat pain 10 days after diagnosis. Laboratory investigations showed increased inflammatory signs and normal chest X-ray. He started treatment with azithromycin without clinical improvement and on day five he presented dyspnea and fever. Laryngeal fibroscopy suggested tracheitis and so systemic steroids where added with fast clinical and analytic improvement. Discussion: Tracheitis should be suspected if there are persistent respiratory symptoms even when exams are normal. Early recognition and early treatment are essential for a good prognosis preventing progression to respiratory failure. |
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Tracheitis: A Rare Extra-Intestinal Manifestation of Ulcerative Colitis in ChildrenChildColitisUlcerative/complicationsTracheitis/etiologyIntroduction: Inflammatory bowel disease may cause both intestinal and extraintestinal manifestations. Respiratory symptoms in ulcerative colitis are rare and tracheal involvement is exceedingly rare in children. Case 1: Sixteen year-old female with a 4-week-complaint of abdominal pain, bloody diarrhea, fever and cough. The investigation was consistent with the diagnosis of concomitant ulcerative colitis/coinfection to Escherichia coli. On day 4 respiratory signs persisted so azithromycin and inhaled corticosteroids were added. By day 6 she progressed to respiratory failure and was diagnosed with necrotic tracheitis so started on intravenous steroids with fast clinical improvement. Case 2: Twelve-year-old male adolescent with ulcerative colitis and sclerosing cholangitis started dry cough and throat pain 10 days after diagnosis. Laboratory investigations showed increased inflammatory signs and normal chest X-ray. He started treatment with azithromycin without clinical improvement and on day five he presented dyspnea and fever. Laryngeal fibroscopy suggested tracheitis and so systemic steroids where added with fast clinical and analytic improvement. Discussion: Tracheitis should be suspected if there are persistent respiratory symptoms even when exams are normal. Early recognition and early treatment are essential for a good prognosis preventing progression to respiratory failure.Sociedade Portuguesa de Gastrenterologia2016-10-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452016000500006GE-Portuguese Journal of Gastroenterology v.23 n.5 2016reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452016000500006Nunes,Isabel SerraAbreu,MarleneCorujeira,SusanaOliveira,JulianaTavares,MartaRocha,CristinaLopes,JoanneCarneiro,FátimaDias,Jorge AmilTrindade,Euniceinfo:eu-repo/semantics/openAccess2023-07-27T12:36:24ZPortal AgregadorONG |
dc.title.none.fl_str_mv |
Tracheitis: A Rare Extra-Intestinal Manifestation of Ulcerative Colitis in Children |
title |
Tracheitis: A Rare Extra-Intestinal Manifestation of Ulcerative Colitis in Children |
spellingShingle |
Tracheitis: A Rare Extra-Intestinal Manifestation of Ulcerative Colitis in Children Nunes,Isabel Serra Child Colitis Ulcerative/complications Tracheitis/etiology |
title_short |
Tracheitis: A Rare Extra-Intestinal Manifestation of Ulcerative Colitis in Children |
title_full |
Tracheitis: A Rare Extra-Intestinal Manifestation of Ulcerative Colitis in Children |
title_fullStr |
Tracheitis: A Rare Extra-Intestinal Manifestation of Ulcerative Colitis in Children |
title_full_unstemmed |
Tracheitis: A Rare Extra-Intestinal Manifestation of Ulcerative Colitis in Children |
title_sort |
Tracheitis: A Rare Extra-Intestinal Manifestation of Ulcerative Colitis in Children |
author |
Nunes,Isabel Serra |
author_facet |
Nunes,Isabel Serra Abreu,Marlene Corujeira,Susana Oliveira,Juliana Tavares,Marta Rocha,Cristina Lopes,Joanne Carneiro,Fátima Dias,Jorge Amil Trindade,Eunice |
author_role |
author |
author2 |
Abreu,Marlene Corujeira,Susana Oliveira,Juliana Tavares,Marta Rocha,Cristina Lopes,Joanne Carneiro,Fátima Dias,Jorge Amil Trindade,Eunice |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Nunes,Isabel Serra Abreu,Marlene Corujeira,Susana Oliveira,Juliana Tavares,Marta Rocha,Cristina Lopes,Joanne Carneiro,Fátima Dias,Jorge Amil Trindade,Eunice |
dc.subject.por.fl_str_mv |
Child Colitis Ulcerative/complications Tracheitis/etiology |
topic |
Child Colitis Ulcerative/complications Tracheitis/etiology |
description |
Introduction: Inflammatory bowel disease may cause both intestinal and extraintestinal manifestations. Respiratory symptoms in ulcerative colitis are rare and tracheal involvement is exceedingly rare in children. Case 1: Sixteen year-old female with a 4-week-complaint of abdominal pain, bloody diarrhea, fever and cough. The investigation was consistent with the diagnosis of concomitant ulcerative colitis/coinfection to Escherichia coli. On day 4 respiratory signs persisted so azithromycin and inhaled corticosteroids were added. By day 6 she progressed to respiratory failure and was diagnosed with necrotic tracheitis so started on intravenous steroids with fast clinical improvement. Case 2: Twelve-year-old male adolescent with ulcerative colitis and sclerosing cholangitis started dry cough and throat pain 10 days after diagnosis. Laboratory investigations showed increased inflammatory signs and normal chest X-ray. He started treatment with azithromycin without clinical improvement and on day five he presented dyspnea and fever. Laryngeal fibroscopy suggested tracheitis and so systemic steroids where added with fast clinical and analytic improvement. Discussion: Tracheitis should be suspected if there are persistent respiratory symptoms even when exams are normal. Early recognition and early treatment are essential for a good prognosis preventing progression to respiratory failure. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-10-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452016000500006 |
url |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452016000500006 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452016000500006 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Gastrenterologia |
dc.source.none.fl_str_mv |
GE-Portuguese Journal of Gastroenterology v.23 n.5 2016 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
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repository.mail.fl_str_mv |
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1777304484331913216 |