PMC10092617_01
Initial flexible bronchoscopy showing hyperaemic mucosa and soot deposits in the airway.
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A check flexible laryngoscopy and bronchoscopy were performed under topical anesthesia that showed mucosal hyperaemia and soot deposits at the laryngeal inlet and in the trachea-bronchial tree (Figure 1).
Serial x-rays of the patient. (A) before intubation, with bilateral infiltrates and lower zone opacities; (B) Post bilateral ICD insertion and intubation; (C) Post tracheostomy with bilateral ICDs in-situ; (D) 2 h post HFOV initiation, with right sided pneumothorax; (E) 48 h post HFOV initiation, pneumothorax nearly resolved; (F) Post switching from HFOV to conventional ventilation; (G) Post tracheostomy decannulation; (H) At hospital discharge.
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Serial chest x-rays during the course of illness are depicted in Figure 2.
HRCT thorax showing the residual tract of the bronchopleural fistula from the right middle lobe bronchus to the pleural surface (top to bottom is cranio-caudal). Right middle and lower lobes show residual pneumonic changes.
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Both lungs were fully expanded, and there was no pneumothorax (Figure 3).