Tracheobronchial Foreign Body Aspiration (FBA) remains a significant cause of morbidity and mortality in children less than three years of age. High index of suspicion leads to early diagnosis and treatment thus preventing further deleterious complications. This case report is about a 15-month-old female child who presented with intermittent low-grade fever, cough, cold for 20 days and rapid breathing since one day. On examination, she had pallor, grade 3 protein energy malnutrition according to Indian Academy of Paediatrics classification, heart rate was 128/min, respiratory rate was 44/min, oxygen saturation was 88% on room air with nasal flaring, intercostal and subcostal retractions. Bilateral rhonchi with reduced air entry was present in all areas of the lung. Bilateral bronchopneumonia was seen on chest X-ray and tuberculosis work up was negative. Child was started on oxygen, antibiotics, nebulisations and intravenous fluids. On day two of admission child developed rigorous bouts of cough associated with hypoxia, bradycardia, cyanosis and listlessness which improved on bag and mask ventilation. Following a strong suspicion of obstruction in the tracheobronchial tree, a Computed Tomography (CT) neck and chest was done which was suggestive of either an intratracheal or intrabronchial foreign body. Child was urgently taken up for rigid bronchoscopy and a ground nut was found in the right main bronchus. The FBA as a differential diagnosis of chronic cough in children should always be ruled out.
Introduction: Asthma and Allergic Rhinitis (AR) are among the most
prevalent diseases worldwide and they frequently persist throughout
life. These have significant effect on physical, financial and mental
wellbeing of patients and caregivers. There have been few attempts
previously, assessing quality of life in affected families suffering
from these diseases. However, data from developing countries are scarce.
Quality of life (QOL) assessment in children and caregivers of patients
suffering can help in symptomatic management and provide inputs for
better utilization of resources to achieve optimal treatment. Methods:
Patient and caregiver QOLs were ascertained using mPAQLQ and PACQLQ
respectively in the study and correlated with disease severity and
chronicity using parametric and non-parametric statistical tools.
Results: There were 246 pairs of children diagnosed with Asthma and/or
AR and their caregivers attending the Pediatric Allergy and Asthma
clinic. Symptom score, emotional domain and activity limitation in
children did not validate a statistically significant difference in QOL
in various grades of AR/Asthma (p=0.632)(p=0.772), (p=0.496) (p=0.918)
and (p=0.384), (p=0.561) respectively. Additionally there was no
significant correlation between the severity of asthma and caregiver
emotional disturbance (p=0.594) or caregiver activity limitation
(p=0.446). Conclusions: Quality of life in children and caregivers where
children are suffering from either AR or Asthma, or both has not shown
any significant difference as per the disease severity or chronicity in
various domains. There was no significant difference in quality of life
noted as per change in age group, gender of patients or education status
of caregivers.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.