Management of Hypoxia in the Simultaneous Presentation of Sickle Cell Trait and Cystic Fibrosis. Exploring a Rare Case with a Comprehensive Review

Cystic fibrosis (CF) is an inheriting disorder that has a strong impact on the pulmonary systems of individuals, as a result, hypoxia might be presented among patients who have CF. In addition, hypoxia is a pathological condition that might be present among patients with sickle cell trait (SCT). However, the simultaneous presentation of both SCT and CF in a patient is rare.

A 7-year-old boy came to the hospital with a chief complaint of cyanosis and cough. In his physical examination, he has low SpO2. His fiber-optic bronchoscopy depicted purulent secretion in the main bronchus. As well, his sweet chloride test was above 80 mmol/L. Thus, by the impression of CF exacerbation, he got HARD treatment and antibiotics. Additionally, during hospitalization, SCT as another impression was diagnosed for him.

Although the co-existence of CF and SCT is rare among patients. The physicians must consider both CF and SCT when a child comes to the emergency room with hypoxia.