Foreign Body Aspiration Presenting with Asthma-Like Symptoms

Kam, Jennifer C.; Doraiswamy, Vikram; Dieguez, Javier; Dabu, Joan; Cholankeril, Matthew; Govind, Mayur; Miller, Richard A.; Adelman, Marc

doi:10.1155/2013/317104

Cited by 13 publications

(16 citation statements)

References 9 publications

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“…Predisposing factors are frequently associated with foreign body aspiration in adults, particularly, altered mental status, neuromuscular disease, head trauma, and psychiatric disorders [1]. Impaired cough reflex and dysphagia contribute to the pathology of aspiration [2].…”

Section: Discussionmentioning

confidence: 99%

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A Case of Chronic Cough and Pneumonia Secondary to a Foreign Body

Dabu

Lindner

Azzam

et al. 2017

Case Reports in Medicine

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Foreign body aspiration occurs when a solid or semisolid object becomes lodged in the larynx or trachea. It can be a life-threatening emergency, especially if it is large enough to occlude the airway. However, small aspirated objects may go unnoticed until symptoms occur. Therefore, it is frequently misdiagnosed. A high level of clinical suspicion, patient's risk factors, and thorough history and physical examination are essential in making the diagnosis. It should be considered in cases where there is unresolved chronic cough with or without associated recurrent pneumonia especially in patients with risks for aspiration.

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Section: Discussionmentioning

confidence: 99%

“…A foreign body is commonly lodged in the right, especially in the right intermediate bronchus. Precipitating factors include CNS dysfunction, trauma intubation, dental procedure, and pulmonary disease [1]. Symptoms include shortness of breath, fever, and hemoptysis.…”

Section: Introductionmentioning

confidence: 99%

A Case of Chronic Cough and Pneumonia Secondary to a Foreign Body

Dabu

Lindner

Azzam

et al. 2017

Case Reports in Medicine

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“…We have detected few cases in the literature in which there is a so ample time between the event of aspiration of a foreign body and the diagnosis [5], [6], [7], [8], [9], [10], [11], [12], [13]. The discussion about the professional liability undertakes special evidence: a) the fake dentist immediately denied the possibility that the synthetic polymer has been aspirated and did not conduct further investigations; b) the doctors who performed afterward then underestimated the statements and the symptoms of the patient; c) none of the questioned doctors in the course of medical history prescribed a CT scan examination despite the persistent cough referred by the patient.…”

Section: Discussionmentioning

confidence: 99%

An unusual case of chronic cough: Professional liability in dentistry?

Bolcato

Aprile

Caenazzo

et al. 2016

Respiratory Medicine Case Reports

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Foreign body aspiration (FBA) is a serious medical problem, also in dental practice. The case report describes the case of a patient who for 12 years has suffered from chronic cough as a result of the aspiration of a polymeric silicone resin fragment during a dental procedure. In November 2002, the patient was underwent dental care, and she points out that, when performing dental imprint, she had sensed that something “went down in the throat” but she was immediately reassured by the dentist. After lung CT was performed, the foreign body was identified and removed with benefit to the patient. The knowledge of this case report could be useful for dentists who perform dental impressions, to be aware of the fact that the material used is radiolucent e.g. cannot be seen on plan radiographs and it can be accidentally inhaled by the patient. The knowledge of the case is also important for doctors who come in contact with patients who previously underwent dental treatment, suffering from persistent cough, in the absence of positive radiological signs.

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“…Of additional concern, some drugs may be systemically absorbed. Patients are often asymptomatic or misdiagnosed with asthma5 and therefore retrieval of the drug before detrimental effects ensue is delayed.…”

Section: Discussionmentioning

confidence: 99%

Treasure in the chest

2015

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SUMMARYA 41-year-old woman with a background of asthma was preparing for a party on New Year's Eve when she developed a mild wheeze. Concerned her symptoms would develop and impact on festivities, she located her uncapped salbutamol inhaler in her handbag. Ignoring the coarse rattle as she shook it, she proceeded to take a deep inspiration. Instantly, she felt a painful scratch in her pharynx followed by a harsh cough, which persisted over the next few minutes and became associated with haemoptysis. She was taken to the accident and emergency department. Chest X-ray revealed a radiodense foreign body in the distal right main bronchus. During endoscopy, an earring, causing subtotal occlusion in the right lower lobe bronchus was found and extracted. Her observations remained within normal limits throughout. The importance of replacing caps on inhalers when not in use is illustrated and should be encouraged when inhaler technique is taught or reviewed. BACKGROUND

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Foreign Body Aspiration Presenting with Asthma-Like Symptoms

Cited by 13 publications

References 9 publications

A Case of Chronic Cough and Pneumonia Secondary to a Foreign Body

A Case of Chronic Cough and Pneumonia Secondary to a Foreign Body

An unusual case of chronic cough: Professional liability in dentistry?

Treasure in the chest

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