Olszowiec-Chlebna Małgorzata, Ruszczyk-Bilecka Teresa, Jerzyńska Joanna, Majak Paweł, Grzelewski Tomasz, Pryt Lukasz, Stelmach Iwona
Department of Pediatrics and Allergy, Medical University of Lodz, N. Copernicus Hospital, Lodz, Poland.
Exp Clin Transplant. 2014 Feb;12(1):81-4. doi: 10.6002/ect.2012.0300. Epub 2013 Jun 6.
Many clinical conditions should be considered in the differential diagnosis of life-threatening events in cystic fibrosis patients after a lung graft transplant. We report on a 17-year-old boy who underwent a lobectomy owing to an inflammatory endobronchial polyp complicated by massive airways bleeding 12 months after having had a bilateral sequential lung graft for cystic fibrosis. This unusual complication underscores the requirement for flexible bronchoscopy in patients with recurrent infection at any stage after transplant. Early diagnosis may prevent life-threatening complications.
在囊性纤维化患者肺移植后发生危及生命事件的鉴别诊断中,应考虑许多临床情况。我们报告了一名17岁男孩,他因炎性支气管内息肉并发大量气道出血,在接受双侧序贯肺移植治疗囊性纤维化12个月后接受了肺叶切除术。这种不寻常的并发症强调了在移植后任何阶段反复感染的患者中进行可弯曲支气管镜检查的必要性。早期诊断可能预防危及生命的并发症。