Tracheal stenosis secondary to airway abscess
Objective: To present a case with tracheal stenosis, secondary to airway abscess, and describe its clinical presentation, diagnostic methods and treatment. Clinical Case: An 85-year-old patient presented with dry cough, inspiratory laryngeal stridor and dyspnea. Physical examination: No particularit...
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| Autores principales: | , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2025
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/45878 |
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I10-R327-article-45878 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
tracheal stenosis absess thoracic surgery estenosis traqueal absceso cirugía toracica estenose traqueal abscesso cirurgia toráxica |
| spellingShingle |
tracheal stenosis absess thoracic surgery estenosis traqueal absceso cirugía toracica estenose traqueal abscesso cirurgia toráxica Medina, Juan Carlos Yaryura Montero, Jose Gabriel Navarro, Ricardo Benavidez, Rodrigo Adrian Cafaro, Mario Alberto Medina, Juan Carlos Yaryura Montero, Jose Gabriel Navarro, Ricardo Benavidez, Rodrigo Adrian Cafaro, Mario Alberto Medina, Juan Carlos Yaryura Montero, Jose Gabriel Navarro, Ricardo Benavidez, Rodrigo Adrian Cafaro, Mario Alberto Tracheal stenosis secondary to airway abscess |
| topic_facet |
tracheal stenosis absess thoracic surgery estenosis traqueal absceso cirugía toracica estenose traqueal abscesso cirurgia toráxica |
| author |
Medina, Juan Carlos Yaryura Montero, Jose Gabriel Navarro, Ricardo Benavidez, Rodrigo Adrian Cafaro, Mario Alberto Medina, Juan Carlos Yaryura Montero, Jose Gabriel Navarro, Ricardo Benavidez, Rodrigo Adrian Cafaro, Mario Alberto Medina, Juan Carlos Yaryura Montero, Jose Gabriel Navarro, Ricardo Benavidez, Rodrigo Adrian Cafaro, Mario Alberto |
| author_facet |
Medina, Juan Carlos Yaryura Montero, Jose Gabriel Navarro, Ricardo Benavidez, Rodrigo Adrian Cafaro, Mario Alberto Medina, Juan Carlos Yaryura Montero, Jose Gabriel Navarro, Ricardo Benavidez, Rodrigo Adrian Cafaro, Mario Alberto Medina, Juan Carlos Yaryura Montero, Jose Gabriel Navarro, Ricardo Benavidez, Rodrigo Adrian Cafaro, Mario Alberto |
| author_sort |
Medina, Juan Carlos |
| title |
Tracheal stenosis secondary to airway abscess |
| title_short |
Tracheal stenosis secondary to airway abscess |
| title_full |
Tracheal stenosis secondary to airway abscess |
| title_fullStr |
Tracheal stenosis secondary to airway abscess |
| title_full_unstemmed |
Tracheal stenosis secondary to airway abscess |
| title_sort |
tracheal stenosis secondary to airway abscess |
| description |
Objective: To present a case with tracheal stenosis, secondary to airway abscess, and describe its clinical presentation, diagnostic methods and treatment.
Clinical Case: An 85-year-old patient presented with dry cough, inspiratory laryngeal stridor and dyspnea. Physical examination: No particularities. A computed tomography scan of the neck and chest was performed, which reported a decrease in the caliber of the tracheal lumen. It was decided to admit him to the intensive care unit, and fiberoptic bronchoscopy was performed where critical stenosis was observed. Mechanical dilation was performed with candles and in the absence of clinical improvement, a surgical tracheostomy was performed. During the procedure, an abscess was observed in the anterior tracheal wall, which was drained. Culture of the liquid development of Pseudomona Aeruginosa. The patient presented a good clinical evolution. being discharged 72 hours after surgery with targeted antibiotic treatment. Due to resolution of the infection process, it is decannulated 30 days after the surgical procedure. The follow-up after the extraction of the tracheostomy tube showed no particularities.
Conclusion: Airway abscesses as a cause of tracheal stenosis are uncommon; at the time of the article's presentation, there is only one recorded case in the available literature. The diagnosis requires a correct clinical evaluation and the judicious use of complementary studies such as bronchoscopies and computed axial tomography. Management is multidisciplinary, and the treatment modality will be determined by the type of patient and the severity of the stenosis. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2025 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/45878 |
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2025-10-10T05:05:49Z |
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2025-11-27T05:07:50Z |
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I10-R327-article-458782025-11-12T21:08:55Z Tracheal stenosis secondary to airway abscess Estenosis traqueal secundaria a absceso de la vía áerea Estenose traqueal secundaria a abscesso de via aerea Medina, Juan Carlos Yaryura Montero, Jose Gabriel Navarro, Ricardo Benavidez, Rodrigo Adrian Cafaro, Mario Alberto Medina, Juan Carlos Yaryura Montero, Jose Gabriel Navarro, Ricardo Benavidez, Rodrigo Adrian Cafaro, Mario Alberto Medina, Juan Carlos Yaryura Montero, Jose Gabriel Navarro, Ricardo Benavidez, Rodrigo Adrian Cafaro, Mario Alberto tracheal stenosis absess thoracic surgery estenosis traqueal absceso cirugía toracica estenose traqueal abscesso cirurgia toráxica Objective: To present a case with tracheal stenosis, secondary to airway abscess, and describe its clinical presentation, diagnostic methods and treatment. Clinical Case: An 85-year-old patient presented with dry cough, inspiratory laryngeal stridor and dyspnea. Physical examination: No particularities. A computed tomography scan of the neck and chest was performed, which reported a decrease in the caliber of the tracheal lumen. It was decided to admit him to the intensive care unit, and fiberoptic bronchoscopy was performed where critical stenosis was observed. Mechanical dilation was performed with candles and in the absence of clinical improvement, a surgical tracheostomy was performed. During the procedure, an abscess was observed in the anterior tracheal wall, which was drained. Culture of the liquid development of Pseudomona Aeruginosa. The patient presented a good clinical evolution. being discharged 72 hours after surgery with targeted antibiotic treatment. Due to resolution of the infection process, it is decannulated 30 days after the surgical procedure. The follow-up after the extraction of the tracheostomy tube showed no particularities. Conclusion: Airway abscesses as a cause of tracheal stenosis are uncommon; at the time of the article's presentation, there is only one recorded case in the available literature. The diagnosis requires a correct clinical evaluation and the judicious use of complementary studies such as bronchoscopies and computed axial tomography. Management is multidisciplinary, and the treatment modality will be determined by the type of patient and the severity of the stenosis. Objetivo: Presentar un caso con estenosis traqueal, secundario a absceso de la vía aérea, y describir su presentación clínica, métodos diagnóstico y tratamiento. Caso Clínico: Paciente de 85 años consulta por tos seca, estridor laríngeo inspiratorio y disnea. El examen físico: Sin particularidades. Se realiza tomografía computarizada de cuello y tórax que informa disminución del calibre de la luz traqueal. Se decide internación en unidad de terapia intensiva, se realiza fibrobroncoscopia donde se objetiva estenosis critica. Se realiza dilatación mecánica con bujías y ante la ausencia de mejoría clínica se realiza traqueostomía quirúrgica, Durante el procedimiento se objetivó absceso en pared anterior traqueal, el cual fue drenado. El cultivo del líquido desarrollo de Pseudomona Aeruginosa. La paciente presento buena evolución clínica. siendo otorgada de alta a las 72 horas postquirúrgicas con tratamiento antibiótico dirigido. Por resolución del proceso infección se descanula a los 30 días del procedimiento quirúrgico. El seguimiento posterior a la extracción de cánula traqueostomía, no mostro particularidades. Conclusión: Los abscesos de la vía aérea como causa de estenosis traqueal es infrecuente, al memento de la presentación de articulo, solo existe en la bibliografía disponible solo un caso registrado. El diagnóstico requiere de una correcta evaluación clínica y el uso criterioso de los estudios complementarios como broncoscopias y Tomografia. El manejo es multidisciplinario, y la modalidad de tratamiento va a quedar determinada por el tipo de paciente y la gravedad de la estenosis Objetivo: Apresentar um caso de estenose traqueal secundária a abscesso de via aérea e descrever sua apresentação clínica, métodos diagnósticos e tratamento. Caso Clínico: Paciente de 85 anos apresentou tosse seca, estridor laríngeo inspiratório e dispneia. Exame físico: Sem particularidades. Foi realizada tomografia computadorizada de pescoço e tórax, que relatou diminuição do calibre da luz traqueal. Decidiu-se interná-lo em unidade de terapia intensiva e foi realizada fibrobroncoscopia onde foi observada estenose crítica. Foi realizada dilatação mecânica com velas e, na ausência de melhora clínica, foi realizada traqueostomia cirúrgica. Durante o procedimento, foi observado abscesso na parede traqueal anterior, que foi drenado. Cultura do desenvolvimento líquido de Pseudomona Aeruginosa. O paciente apresentou boa evolução clínica. receber alta 72 horas após a cirurgia com tratamento antibiótico direcionado. Devido à resolução do processo infeccioso, é decanulado 30 dias após o procedimento cirúrgico. O acompanhamento após a extração da cânula de traqueostomia não apresentou particularidades. Conclusão: Os abscessos das vias aéreas como causa de estenose traqueal são incomuns no momento da apresentação do artigo, há apenas um caso registrado na literatura disponível; O diagnóstico requer avaliação clínica correta e utilização criteriosa de estudos complementares como broncoscopias e tomografia axial computadorizada. O manejo é multidisciplinar e a modalidade de tratamento será determinada pelo tipo de paciente e pela gravidade da estenose. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2025-09-29 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/45878 10.31053/1853.0605.v82.n3.45878 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 82 No. 3 (2025); 656-666 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 82 Núm. 3 (2025); 656-666 Revista da Faculdade de Ciências Médicas de Córdoba; v. 82 n. 3 (2025); 656-666 1853-0605 0014-6722 10.31053/1853.0605.v82.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/45878/50480 https://revistas.unc.edu.ar/index.php/med/article/view/45878/50425 Derechos de autor 2025 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |