Abstract

Ashwini Doddannavar and Laxmi Pattanashetti*

ABSTRACT

Bronchiectasis is an uncommon chronic obstructive lung illness characterised by inflamed and readily collapsible airways, results in air flow blockage. Bronchiectasis is a well-known and irreversible source of chronic respiratory illness in HIV-positive children(toddlers) and adolescents. A 20-year-old female came with her follow up advice for advanced cystic bronchiectasis with cor pulmonale and also post covid sequel with severe pulmonary arterial hypertension for 1 year of regular follow-up. Her first clinical presentation was fever, cough for 1 week, and breathlessness for 3 days. Upper lobe of bilateral lungs and cardiac abnormalities were detected through high-resolution computed tomography (HRCT) and 2D echocardiography respectively. Suggestions were made to continue antibiotics, chest physiotherapy, postural drainage, continue oxygen supplementation, high protein diet, and will require antibiotic prophylaxis on discharge. This rare case report suggests the necessity of early diagnosis in adolescents with recurring respiratory symptoms, since early diagnosis is critical for early management.