Pediatric foreign body aspiration: A nidus for Aspergillus colonization

Mitchell, Candace A.; Kreiger, Portia A.; Goff, Christopher J.; Shah, Udayan K.

doi:10.1016/j.ijporl.2015.04.001

Cited by 8 publications

(9 citation statements)

References 11 publications

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“…Choking has been found to have the highest predictive factor of foreign body aspiration and is present in 75 to 90% of cases. 10,24,25 Therefore, it is important to extract the information from parents, patients, or International Archives of Otorhinolaryngology witnesses, as many will only admit after close questioning. 26 The next most common presenting symptoms are persistent cough (69%) and difficulty breathing (69%), as similarly observed in other studies.…”

Section: Discussionmentioning

confidence: 99%

“…30 The classic triad of wheeze, cough, and unilateral decreased breath sounds may not necessarily be present and has been observed in only one third of all cases. 10,31 Chest radiograph is the first-line investigation done in suspected foreign body aspiration, preferably inspiratory and expiratory radiographs in cooperative children, or decubitus radiographs younger and less cooperative children. 8 As most objects are radiolucent, the foreign body may not be visible on plain radiograph.…”

Section: Discussionmentioning

confidence: 99%

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A Five-Year Review on Pediatric Foreign Body Aspiration

Nasir

Subha

2020

Int Arch Otorhinolaryngol

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Introduction Foreign body aspiration is a leading cause of accidental death in children. Clinical presentation varies from non-specific respiratory symptoms to respiratory failure making diagnosis challenging. Objective To review pediatric patients who underwent bronchoscopy due to suspicion of foreign body aspiration at a tertiary center in Malaysia. Methods We retrospectively studied patients < 11 years old who underwent bronchoscopy from 2008 to 2018. Results Over the 10-year period, 20 patients underwent bronchoscopy, and 16 were found to have foreign body aspiration with equal gender distribution. The most common age group was < 3 years old (75%). The most common clinical presentations were choking (82%) and stridor (31%). Foreign bodies were removed using flexible bronchoscope in 8 cases (50%), and difficulties were encountered in 6 cases (75%). Rigid ventilating bronchoscope was used in 8 cases (50%) with no difficulty. The most common object found was peanut (19%). The majority of foreign bodies were lodged in the right bronchus (43%). Eight patients (80%) received delayed treatment due to delayed diagnosis. The length of hospital stay was longer in the younger age groups. Conclusion Clinical presentation and chest radiograph findings were comparable across all age groups. The most difficulties encountered during foreign body removal were via flexible bronchoscope, in children < 3 years old. There was no significant correlation between age and type of foreign body aspiration. The majority of patients who received delayed treatment were < 3 years old. The length of hospital stay was longer in the younger age groups.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Five-Year Review on Pediatric Foreign Body Aspiration

Nasir

Subha

2020

Int Arch Otorhinolaryngol

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“…Another case series reported pneumonia and bronchopneumonia as the commonest FBA complications 1. A case report signals the FBA as a possible nidus for aspergilloma formation within an ulcer of the adjacent bronchial mucosa, even in immunocompetent children 8. The gold-standard technique to remove a FB from the airways uses the ventilating rigid bronchoscopy under general anaesthesia.…”

Section: Discussionmentioning

confidence: 99%

A history of recurrent wheezing can delay the diagnosis of foreign body aspiration in a paediatric emergency department

Colavita

Gelli²,

Pecorari³

et al. 2015

BMJ Case Reports

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Foreign body aspiration (FBA) into the airways is a potentially life-threatening event, and more frequent in children younger than 3 years of age; it can mimic other diseases by its frequently non-specific clinical and radiological presentation. The commonest misdiagnoses in children are asthma and recurrent respiratory tract infections with wheezing. This often makes it particularly difficult for a timely and proper diagnosis, especially when there is a silent history of FBA (not a rare occurrence in the age group at highest risk). We report a case of a 2-year-old boy who arrived at the emergency department at the Hospital of Ferrara, with dyspnoea, fever and wheezing, which had started 12 h after aspiration of a pistachio. The asymptomatic period after the pistachio aspiration, a history of recurrent wheezing during respiratory infections and the non-specificity of clinical and radiological findings, delayed the right diagnosis of FBA.

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“…[2] Aspergilloma-associated FB has been recently reported. [3] Although the FB was successfully removed in the case in question, histopathologic examination of the biopsy specimen was solicited. If that was contemplated and revealed fungal hyphae characteristic of Aspergillus species, it would be a novel case report in the Kingdom of Saudi Arabia (KSA) as pediatric aspergilloma-associated FB is rarely reported in literature.…”

mentioning

confidence: 99%

“…If that was contemplated and revealed fungal hyphae characteristic of Aspergillus species, it would be a novel case report in the Kingdom of Saudi Arabia (KSA) as pediatric aspergilloma-associated FB is rarely reported in literature. [3]…”

mentioning

confidence: 99%

Chronic foreign body aspiration in a Saudi child - an occult cause of chronic pulmonary disease: Case report and literature review

Al‐Mendalawi

2016

Saudi J Med Med Sci

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Pediatric foreign body aspiration: A nidus for Aspergillus colonization

Cited by 8 publications

References 11 publications

A Five-Year Review on Pediatric Foreign Body Aspiration

A Five-Year Review on Pediatric Foreign Body Aspiration

A history of recurrent wheezing can delay the diagnosis of foreign body aspiration in a paediatric emergency department

Chronic foreign body aspiration in a Saudi child - an occult cause of chronic pulmonary disease: Case report and literature review

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