Presentation
Tracheostomy, thick secretions initially blood-stained, desaturated, new hypoxia despite nasal high flow oxygen. Background of known SCID and CHARGE syndrome.
Patient Data
Age: 2 years
Gender: Male
From the case:
Armoured tracheostomy tube
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Info

Tracheostomy in situ. Bronchial wall thickening bilaterally with perihilar changes (right > left) consistent with infection +/- aspiration.
Case Discussion
Armoured tracheostomy tubes, cf. armoured endotracheal tubes, are occasionally employed in patients with difficult airways.