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Case Reports
. 2022 Oct 5:9:956333.
doi: 10.3389/fmed.2022.956333. eCollection 2022.

Case Report: Use of endobronchial Watanabe spigot and coagulation factor XIII supplementation in the treatment of persistent pneumothorax due to pneumocystis pneumonia with human immunodeficiency virus infection

Katsumasa Koyama  1 , Daisuke Minami  2 , Hayato Isobe  1 , Ryo Shirai  1 , Niro Okimoto  1 , Koichi Tomoda  1
Affiliations
Case Reports

Case Report: Use of endobronchial Watanabe spigot and coagulation factor XIII supplementation in the treatment of persistent pneumothorax due to pneumocystis pneumonia with human immunodeficiency virus infection

Katsumasa Koyama et al. Front Med (Lausanne). .

Abstract

Pneumocystis jiroveceii pneumonia is one of the most common opportunistic infections associated with human immunodeficiency virus. Endobronchial Watanabe spigot has been recommended for refractory pneumothorax, even with persistant air leak despite continuous negative pressure control via thoracic drainage. Moreover, coagulation factor XIII is considered effective in wound healing.

Keywords: blood coagulation factor XIII; endobronchial Watanabe spigot; human immunodeficiency virus; pneumocystis jiroveceii pneumonia; pneumothorax.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Chest computed tomography (CT) scan on admission (A), at 11 days (B), and after bronchial occlusion with a endobronchial Watanabe spigot (EWS) (D), and EWS (C). CT scan of the chest showing diffuse ground glass opacity on admission (A). CT scan of the chest showing cysts clustered on the peripheral side of the left B4 at 11 days (B). EWS shown being implanted in left B4b (C). And, CT scan showing improvement in the pneumothorax after bronchial occlusion with EWS (D).
See this image and copyright information in PMC

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