{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:10:03Z","timestamp":1756375803969,"version":"3.44.0"},"reference-count":27,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>A 34-year-old woman with papillary thyroid carcinoma underwent total thyroidectomy with central and lateral lymphadenectomy. Immediate airway compromise required re-intubation immediately after surgery. Marked tracheal and bronchial collapse of greater than 50% of the lumen indicated tracheobronchomalacia. Subsequent attempts at extubation failed over the next week. The patient soon developed evidence of a lower respiratory tract infection. Empirical treatment with penicillins was unsuccessful. A clinical suspicion of chlamydia infection prompted initiation of macrolide treatment followed by resolution of both the patient\u2019s respiratory infection and tracheobronchomalacia. Serology returned positive for <jats:italic>Chlamydophila psittaci<\/jats:italic> infection. It later transpired that the patient had symptoms of an upper respiratory tract infection just prior to surgery. This case demonstrates an interesting and unreported cause of tracheobronchomalacia as well as providing a good lesson on the importance of preoperative screening for infection.<\/jats:p>","DOI":"10.1136\/bcr.07.2011.4516","type":"journal-article","created":{"date-parts":[[2011,10,28]],"date-time":"2011-10-28T11:24:53Z","timestamp":1319801093000},"page":"bcr0720114516","source":"Crossref","is-referenced-by-count":2,"title":["Psittacosis infection and tracheobronchomalacia in a patient undergoing thyroidectomy: Figure 1"],"prefix":"10.1136","volume":"2011","author":[{"given":"Luke","family":"Dixon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvador","family":"Diaz-Cano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus-Martin","family":"Schulte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2011,10,28]]},"reference":[{"key":"2025082802545834000_2011.oct27_1.bcr0720114516.1","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1007\/BF02602761","article-title":"Incidence and hospital stay for cardiac and pulmonary complications after abdominal surgery.","volume":"10","author":"Lawrence","year":"1995","journal-title":"J Gen Intern Med"},{"key":"2025082802545834000_2011.oct27_1.bcr0720114516.2","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1007\/BF02596344","article-title":"Preoperative evaluation of pulmonary risk factors.","volume":"3","author":"Mohr","year":"1988","journal-title":"J Gen Intern Med"},{"key":"2025082802545834000_2011.oct27_1.bcr0720114516.3","doi-asserted-by":"publisher","DOI":"10.1099\/00207713-47-2-461"},{"key":"2025082802545834000_2011.oct27_1.bcr0720114516.4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2008.02669.x"},{"key":"2025082802545834000_2011.oct27_1.bcr0720114516.5","unstructured":"Background Information on Psittacosis. http:\/\/www.hpa.org.uk\/Topics\/InfectiousDiseases\/InfectionsAZ\/Psittacosis\/GeneralInformation\/psiBackgroundInformation\/ (accessed on 10 October 2011)."},{"key":"2025082802545834000_2011.oct27_1.bcr0720114516.6","doi-asserted-by":"publisher","DOI":"10.1086\/516368"},{"key":"2025082802545834000_2011.oct27_1.bcr0720114516.7","doi-asserted-by":"crossref","unstructured":"Kov\u00e1cov\u00e1 E Majt\u00e1n J Botek R . 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