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Case Reports in Pulmonology
Volume 2017, Article ID 4789751, 3 pages
Case Report

A Rare Case of Idiopathic Plastic Bronchitis

1Avicenne University Hospital, Pulmonary Unit, University of Rabat, Rabat, Morocco
2Avicenne University Hospital, Anatomopathology Unit, University of Rabat, Rabat, Morocco
3Avicenne University Hospital, Radiology Unit, University of Rabat, Rabat, Morocco

Correspondence should be addressed to Mohammed Raoufi; moc.liamg@eidnamronessabal

Received 13 June 2017; Revised 16 August 2017; Accepted 24 August 2017; Published 2 October 2017

Academic Editor: Akif Turna

Copyright © 2017 Mohammed Raoufi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Plastic bronchitis is a rare disorder characterized by formation of large, branching bronchial casts, which are often expectorated. We present an interesting case of a 35-year-old woman who presented for evaluation of a chronic cough productive of voluminous secretions. Clinical and radiological examination confirmed a total left lung atelectasis without any pathological mediastinal node. Flexible bronchoscopy demonstrated tenacious, thick, and sticky whitish secretions blocking the left stem bronchus. This material was extracted, and inspection demonstrated a bronchial cast, whose pathological analysis revealed necrotic epithelial cells, some eosinophils, and Charcot-Leyden crystals. Two days after bronchoscopy, the patient rejected more bronchial casts, and dyspnea improved. Control of chest x-ray revealed complete left lung aeration and the diagnosis of idiopathic plastic bronchitis was obtained. This article shows the interest in clinical practice to evoke the diagnosis of plastic bronchitis in front of a productive chronic cough. Our case illustrates a rare clinical presentation represented by an atelectasis of an entire lung.