Undiagnosed chicken meat aspiration as a cause of difficult-to-ventilate in a boy with traumatic brain injury

Ariff, Nazhan Afeef Mohd; Mazlan, Mohd Zulfakar; Hassan, Mohd Erham Mat; L, Praveena A N; Seevaunnamtum, SP; Shukeri, Wan Fadzlina Wan Muhd; Mohamad, Nik Abdullah Nik; Hassan, Shamsul Kamalrujan; Jaalam, Kamaruddin; Hassan, Mohamad Hasyizan; Omar, Sanihah Che; Nadarajan, Chandran; Mohamad, Irfan

doi:10.1016/j.rmcr.2018.01.001

Cited by 2 publications

(2 citation statements)

References 8 publications

(14 reference statements)

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“…Their article emphasized that FB aspiration needs to be considered as one of the causes of postintubation difficult-to-ventilate scenarios. Prompt diagnosis and bronchoscope-assisted removal of FB is essential in reducing morbidity and mortality [12]. Note that the combination of acute asthma exacerbation and FB aspiration creates a pathophysiological condition that predisposes the appearance of PM, SCE, or even a pneumothorax (valve phenomenon).…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous emphysema and pneumomediastinum in child with asthma revealing occult foreign body aspiration: a case report

et al. 2019

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Background Exacerbations of asthma constitute the most common cause of pneumomediastinum and subcutaneous emphysema in children. Foreign body aspiration is a rare cause of pneumomediastinum and subcutaneous emphysema. Foreign body aspiration leading to the occurrence of pneumomediastinum in a child with asthma may go unnoticed and be wrongly attributed to asthma, which leads to delayed diagnosis as well as to life-threatening and long-term complications. Case presentation We describe a case of a 6-year-old Moroccan boy with asthma who was admitted to our emergency department for acute dyspnea and persistent dry cough. The patient was initially treated as having acute asthma exacerbation. Owing to insufficient clinical and radiographic improvement with asthma treatment, a rigid bronchoscopy under general anesthesia was performed. A pumpkin seed was removed from the left main bronchus. Clinical and radiographic improvement was achieved after foreign body extraction. Conclusions This case emphasizes that the possibility of foreign body aspiration should always and carefully be considered by the emergency physician when faced with a child with asthma presenting with pneumomediastinum and subcutaneous emphysema as an important differential diagnosis even in the absence of a history of foreign body aspiration.

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Section: Discussionmentioning

confidence: 99%

Subcutaneous emphysema and pneumomediastinum in child with asthma revealing occult foreign body aspiration: a case report

et al. 2019

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“…An urgent bronchoscopy was performed for him to exclude the possibility of aspiration. A 3 cm piece of chicken meat(was) removed via bronchoscopy and the saturation immediately raised to 100% [8].…”

Section: Discussionmentioning

confidence: 99%

A rare case of massive foreign body aspiration mimic asthma

Moslehi

2019

Respiratory Medicine Case Reports

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Foreign Body Aspiration (FBA) remains as one of the leading causes of morbidity and mortality among pediatrics, especially in younger ones. Asphyxia caused by FBA is a main and common cause of this morbidity and mortality. Unfortunately, many FBAs may be misdiagnosed and an appropriate management becomes postponed specially in cases without any vivid evidence. Due to wide spectrum of signs and symptoms, FBA can be easily misdiagnosed with a recurrent pneumonia, asthma and immunodeficiency disorders. In this case report, the author presents the case of a 4-year-old girl who aspirated a massive amount of meat. She had been misdiagnosed with asthma and pneumonia for about 4 months, but eventually the problem was managed by an extraction using bronchoscopy cryoprobe.

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Undiagnosed chicken meat aspiration as a cause of difficult-to-ventilate in a boy with traumatic brain injury

Cited by 2 publications

References 8 publications

Subcutaneous emphysema and pneumomediastinum in child with asthma revealing occult foreign body aspiration: a case report

Subcutaneous emphysema and pneumomediastinum in child with asthma revealing occult foreign body aspiration: a case report

A rare case of massive foreign body aspiration mimic asthma

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