Obstructive fibrinous tracheal pseudomembrane in a hemodialysis patient: a case report and review of literature.

Jingjing Hou, Haitao Li, Fu Niu, Xiaodan Mu, Shushen Zhang, Lining Huang, Zhigang Cai

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In one paragraph

Review in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Jingjing HouDepartment of Hemodialysis, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050000, China.

Haitao LiHebei Key Laboratory of Respiratory Critical Care Medicine Hebei Institute of Respiratory Diseases, The First Department of Pulmonary and Critical Care Medicinetory Diseases, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050000, China.

Fu NiuHebei Key Laboratory of Respiratory Critical Care Medicine Hebei Institute of Respiratory Diseases, The First Department of Pulmonary and Critical Care Medicinetory Diseases, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050000, China.

Xiaodan MuDepartment of Radiology, Peking University International Hospital, Beijing, 102206, China.

Shushen ZhangDepartment of Respiratory and Critical Care Medicine, Affiliated Xing Tai People Hospital of Hebei Medical University, Xingtai, Hebei, 054031, China.

Lining HuangDepartment of Anesthesiology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, 05000, China.

Zhigang CaiHebei Key Laboratory of Respiratory Critical Care Medicine Hebei Institute of Respiratory Diseases, The First Department of Pulmonary and Critical Care Medicinetory Diseases, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, 050000, China. zhigang_cai@hebmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObstructive fibrinous tracheal pseudomembrane (OFTP) is a relatively rare complication of endotracheal intubation. It can develop with short-term intubation, causing respiratory symptoms shortly after extubation. Delayed recognition of OFTP is common in clinical practice and has been reported to lead to fatal airway obstruction in some case studies. In this case report, we describe a patient of end stage renal disease (ESRD) on hemodialysis (HD) who presented with OFTP. The patient experienced cardiac arrest secondary to hyperkalemia and was intubated for 23 h. After extubation, the patient developed symptoms from progressive dyspnea and stridor to airway obstruction, at which point, the patient was substantially re-intubated. Subsequent bronchoscopy confirmed the diagnosis of OFTP. Meanwhile, the patient’s CT scans revealed airway features correlating with the symptomatic progression.

conclusionProgressive dyspnea and stridor and airway abnormalities on CT scans after extubation should raise clinical considering OFTP, particularly in patients with ESRD. Fast diagnosis and treatment with bronchoscopy is crucial for enhancing patient outcomes.

Indexed as

Airway ObstructionIntubation, IntratrachealKidney Failure, ChronicRenal DialysisTracheal DiseasesBronchoscopyDyspneaHumansRespiratory SoundsEndotracheal intubationEnd stage renal diseaseObstructive fibrinous tracheal pseudomembrane

Identifiers

PMID41402787

DOI10.1186/s12882-025-04704-0

PMCPMC12822047

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LicenceCC BY-NC-ND

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.