CTICasesNecrotizing Tracheobronchitis after Lung Transplant
Imaging findings
CT chest shows severe, irregular mucosal thickening, sloughing debris, and airway wall irregularity within the main and lobar bronchi, associated with new centrilobular nodules. Bronchoscopy confirmed necrotizing tracheobronchitis.
Key takeaways
Necrotizing suppurative tracheobronchitis is a severe early post-transplant complication (often within 3 months). It is driven by airway ischemia and colonization by donor/native pathogens (Aspergillus, Staph, Pseudomonas).
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