Sharadgah Zakaria, Qatawneh Mousa Ahmad, Khasawneh Roaa, Alhamiedeen Nisreen, Alramadinah Nuseibah, Zghreen Alaa, Tarawneh Moath, Bataineh Osama
Department Queen Rania Children's Hospital, Prince Rashid AlHasan Hospital.
Med Arch. 2025;79(1):61-63. doi: 10.5455/medarh.2025.79.61-63.
Plastic bronchitis (PB) is a rare airway-obstructive disease characterized by the formation of tenacious casts resembling bronchial airway architecture which can progress to extensive bronchial blockage, leading to pulmonary ventilation dysfunction and life-threatening respiratory failure.
The aim of this article was to desribe a very rare case of plastic bronchitis caused by group C streptococcus (GCS) as a pathogen causing PB.
A 5-year-old girl with no known underlying chronic diseases presented in October 2022 with a moderate-grade fever, dyspnea, and a productive cough of 3-months' duration On physical examination, she was slightly tachypneic with an oxygen saturation of 98%, but there were no other significant findings. Initial imaging studies, including a chest X-ray (CXR) and a two-dimensional echocardiogram, were normal. Most cases of PB result from procedures to repair congenital heart diseases, although other etiologies have been identified, including infections, inflammatory processes, and acute chest syndrome of sickle cell disease. The incidence of pulmonary infection associated with PB has increased over the years, primarily due to adenovirus, influenza viruses, Mycoplasma pneumoniae, and Haemophilus influen zae. To the authors' knowledge, this is the first case report describing group C streptococ cus (GCS) as a pathogen causing PB.
To the authors' knowledge, this is the irst case report describing group C streptococcus (GCS) as a pathogen causing PB.
塑料支气管炎（PB）是一种罕见的气道阻塞性疾病，其特征是形成类似支气管气道结构的坚韧铸型，可进展为广泛的支气管阻塞，导致肺通气功能障碍和危及生命的呼吸衰竭。
本文旨在描述一例由C组链球菌（GCS）作为病原体引起塑料支气管炎的极为罕见的病例。
一名5岁女童，无已知潜在慢性疾病，于2022年10月就诊，有中度发热、呼吸困难及持续3个月的咳痰性咳嗽。体格检查时，她呼吸稍快，血氧饱和度为98%，但无其他显著异常发现。包括胸部X线（CXR）和二维超声心动图在内的初始影像学检查均正常。大多数塑料支气管炎病例源于先天性心脏病修复手术，不过也已确定了其他病因，包括感染、炎症过程以及镰状细胞病的急性胸综合征。多年来，与塑料支气管炎相关的肺部感染发病率有所上升，主要原因是腺病毒、流感病毒、肺炎支原体和流感嗜血杆菌。据作者所知，这是首例将C组链球菌（GCS）描述为引起塑料支气管炎病原体的病例报告。
据作者所知，这是首例将C组链球菌（GCS）描述为引起塑料支气管炎病原体的病例报告。
