Clinical profile and course of children with postinfectious bronchiolitis obliterans from a tertiary care hospital.
Identifieur interne : 000666 ( PubMed/Checkpoint ); précédent : 000665; suivant : 000667Clinical profile and course of children with postinfectious bronchiolitis obliterans from a tertiary care hospital.
Auteurs : Krishna Mohan Gulla [Inde] ; Kana Ram Jat [Inde] ; Rakesh Lodha [Inde] ; Sushil K. Kabra [Inde]Source :
- Lung India : official organ of Indian Chest Society [ 0970-2113 ]
Abstract
Postinfectious bronchiolitis obliterans (PIBO) is a chronic obstructive lung disease with scanty information in literature on etiology, clinical profile, treatment, and outcome.
DOI: 10.4103/lungindia.lungindia_145_19
PubMed: 31898614
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Kabra</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pediatrics, All India Institute of Medical Sciences, New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2020 Jan-Feb</MedlineDate></PubDate></date><idno type="RBID">pubmed:31898614</idno><idno type="pmid">31898614</idno><idno type="doi">10.4103/lungindia.lungindia_145_19</idno><idno type="wicri:Area/PubMed/Corpus">000011</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000011</idno><idno type="wicri:Area/PubMed/Curation">000011</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000011</idno><idno type="wicri:Area/PubMed/Checkpoint">000666</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000666</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Clinical profile and course of children with postinfectious bronchiolitis obliterans from a tertiary care hospital.</title><author><name sortKey="Gulla, Krishna Mohan" sort="Gulla, Krishna Mohan" uniqKey="Gulla K" first="Krishna Mohan" last="Gulla">Krishna Mohan Gulla</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pediatrics, All India Institute of Medical Sciences, New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author><author><name sortKey="Jat, Kana Ram" sort="Jat, Kana Ram" uniqKey="Jat K" first="Kana Ram" last="Jat">Kana Ram Jat</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pediatrics, All India Institute of Medical Sciences, New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author><author><name sortKey="Lodha, Rakesh" sort="Lodha, Rakesh" uniqKey="Lodha R" first="Rakesh" last="Lodha">Rakesh Lodha</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pediatrics, All India Institute of Medical Sciences, New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author><author><name sortKey="Kabra, Sushil K" sort="Kabra, Sushil K" uniqKey="Kabra S" first="Sushil K" last="Kabra">Sushil K. Kabra</name><affiliation wicri:level="1"><nlm:affiliation>Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Pediatrics, All India Institute of Medical Sciences, New Delhi</wicri:regionArea><wicri:noRegion>New Delhi</wicri:noRegion></affiliation></author></analytic><series><title level="j">Lung India : official organ of Indian Chest Society</title><idno type="ISSN">0970-2113</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Postinfectious bronchiolitis obliterans (PIBO) is a chronic obstructive lung disease with scanty information in literature on etiology, clinical profile, treatment, and outcome.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">31898614</PMID><DateRevised><Year>2020</Year><Month>01</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0970-2113</ISSN><JournalIssue CitedMedium="Print"><Volume>37</Volume><Issue>1</Issue><PubDate><MedlineDate>2020 Jan-Feb</MedlineDate></PubDate></JournalIssue><Title>Lung India : official organ of Indian Chest Society</Title><ISOAbbreviation>Lung India</ISOAbbreviation></Journal><ArticleTitle>Clinical profile and course of children with postinfectious bronchiolitis obliterans from a tertiary care hospital.</ArticleTitle><Pagination><MedlinePgn>8-12</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.4103/lungindia.lungindia_145_19</ELocationID><Abstract><AbstractText Label="Background" NlmCategory="UNASSIGNED">Postinfectious bronchiolitis obliterans (PIBO) is a chronic obstructive lung disease with scanty information in literature on etiology, clinical profile, treatment, and outcome.</AbstractText><AbstractText Label="Objective" NlmCategory="UNASSIGNED">The objective of the study is to describe the clinical profile and course of children diagnosed with PIBO.</AbstractText><AbstractText Label="Methods" NlmCategory="UNASSIGNED">A chart review of children below 18 years of age diagnosed as PIBO over the past 9 years was carried out. Details of clinical profile, laboratory investigations, imaging, treatment received, and outcome were recorded.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">Eight children (boys 4) with PIBO were identified. Median (interquartile range [IQR]) age at the first episode of acute severe bronchiolitis such as illness and diagnosis of PIBO was 15 (6, 23.5) and 30 (16.5, 60) months, respectively, indicating a delay in diagnosis. The most common symptoms were recurrent episodes of cough (100%), fast breathing (100%), wheezing (87.5%), and fever (62.5%). Median (IQR) number of hospitalizations and episodes of antibiotic use prior to diagnosis were 2.5 (2, 5.5) and 2 (2, 4), respectively. Three (37.5%) children received mechanical ventilation during previous hospitalizations. Chest computed tomography revealed mosaic attenuation in 8 (100%), ground-glass opacities in 2 (25%), and bronchial wall thickening in 2 (25%). After diagnosis, 7 received oral steroids, 7 received hydroxychloroquine, 5 received azithromycin, and 2 received azathioprine. The median (IQR) duration of follow-up (n = 6) was 6 (1.5, 9.5) months. Median (IQR) number of pulmonary exacerbations in follow-up was 2 (1, 5).</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">PIBO is still an under-recognized entity with substantial delay in diagnosis and unnecessary use of antibiotics. Clinical course with imaging findings may help to diagnose and manage this entity.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gulla</LastName><ForeName>Krishna Mohan</ForeName><Initials>KM</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jat</LastName><ForeName>Kana Ram</ForeName><Initials>KR</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lodha</LastName><ForeName>Rakesh</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kabra</LastName><ForeName>Sushil K</ForeName><Initials>SK</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>India</Country><MedlineTA>Lung India</MedlineTA><NlmUniqueID>8405380</NlmUniqueID><ISSNLinking>0970-2113</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Children</Keyword><Keyword MajorTopicYN="N">mosaic attenuation</Keyword><Keyword MajorTopicYN="N">postinfectious bronchiolitis obliterans</Keyword><Keyword MajorTopicYN="N">steroids</Keyword></KeywordList><CoiStatement>None</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>1</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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