Diagnóstico tardío de displasia broncopulmonar en una paciente con antecedente de ventilación mecánica neonatal: reporte de un caso

Abstract

We present the case of a 20-year-old female patient with a history of being the second of a twin pregnancy, who experienced fetal distress and was in neonatal intensive care for 2 months with invasive mechanical ventilation. Throughout her life, she has presented with chronic respiratory symptoms, and chest CT scan showed bronchiectasis and a mosaic ventilation-perfusion pattern. Pulmonary function tests revealed a severe obstructive pattern and a severe decrease in exercise capacity. Studies for cystic fibrosis and mycobacteria were negative, leading to a diagnosis of bronchopulmonary dysplasia (BPD), a condition that is typically diagnosed in childhood, but its impact on adolescence and adulthood is poorly recognized. This case highlights the importance of long-term follow-up of patients with a history of prolonged mechanical ventilation in the neonatal period and a history of BPD to optimize their clinical management and improve their quality of life.