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Abstract: The patient was admitted with the complain about sleep snoring with suffocation last for half a year. Adenotonsillectomy was performed. Preoperative examination showed that there was no respiratory infection, or other surgical contraindications. The process of operation was successful. One day after surgery, the child developed chest pain and fever. Chest CT showed left lobar pneumonia. After Bronchoscopy and alveolar lavage and antibiotic use, the symptom was improved. General anesthesia and surgery were the cause of pneumonia. This case showed the association between lower respiratory tract infection and obstructive pathophysiological changes in the upper respiratory tract, and the possibility of complicated lobar pneumonia after adenotonsillectomy in children with OSA.
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Key words:
- tonsil /
- adenoidectomy /
- lobar pneumonia
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[1] EHSAN Z, ISHMAN S L.Pediatric Obstructive Sleep Apnea[J].Otolaryngol Clin North Am, 2016, 49:1449-1464.
[2] WERLE A H, NICKLAUS P J, KIRSE D J, et al.A retrospective study of tonsillectomy in the under 2-year-old child:indications, perioperative management, and complications[J].Int J Pediatr Otorhinolaryngol, 2003, 67:453-460.
[3] CHENG J, ELDEN L.Outcomes in children under 12 months of age undergoing adenotonsillectomy for sleep-disordered breathing[J].Laryngoscope, 2013, 123:2281-2284.
[4] AHMED O G, LAMBERT E M.Obstructive sleep apnea in a 5 month old with tonsillar hypertrophy secondary to congenital neutropenia:Case report and literature review[J].Int J Pediatr Otorhinolaryngol, 2017, 96:103-105.
[5] ARAMBULA A M, XIE D X, WHIGHAM A S.Respiratory events after adenotonsillectomy requiring escalated admission status in children with obstructive sleep apnea[J].Int J Pediatr Otorhinolaryngol, 2018, 107:31-36.
[6] DE LUCA CANTO G, PACHêCO-PEREIRA C, AYDINOZ S.Adenotonsillectomy Complications:A Meta-analysis[J].Pediatrics, 2015, 136:702-718.
[7] THEILHABER M, ARACHCHI S, ARMSTRONG D S.Routine post-operative intensive care is not necessary for children with obstructive sleep apnea at high risk after adenotonsillectomy[J].Int J Pediatr Otorhinolaryngol, 2014, 78:744-777.
[8] BEAL M, CHESSON A, GARCIA T, et al.A pilot study of quantitative aspiration in patients with symptoms of obstructive sleep apnea:comparison to a historic control group[J].Laryngoscope, 2004, 114:965-968.
[9] GOLDBART A D, TAL A.Inflammation and sleep disordered breathing in children:a state-of-the-art review[J].Pediatr Pulmonol, 2008, 43:1151-1160.
[10] BOYD J H, PETROF B J, HAMID Q, et al.Upper airway muscle inflammation and denervation changes in obstructive sleep apnea[J].Am J Respir Crit Care Med, 2004, 170:541-546.
[11] 肖水芳, 贾俊晓, 张俊波.阻塞性睡眠呼吸暂停低通气综合征治疗进展[J].临床耳鼻咽喉头颈外科杂志, 2016, 30 (24):1909-1912.
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