TY - JOUR
T1 - Case report of recurring pneumonia due to unusual foreign body aspiration in the airway
AU - Rodríguez Hidalgo, Luis Alejandro
AU - Concepción-Urteaga, Luis Alberto
AU - Hilario-Vargas, Julio
AU - Cornejo-Portella, Jorge Luis
AU - Ruiz-Caballero, Diana Cecilia
AU - Rojas-Vergara, Deysi Leslie
N1 - Publisher Copyright:
© 2021, Medwave Estudios Ltda. All rights reserved.
PY - 2021/3
Y1 - 2021/3
N2 - Foreign body aspiration is a rare but life-threatening event. Most accidental aspiration events occur in children. In adults, it can represent up to 25% of cases. Bronchoscopy remains the gold standard for diagnosing and treating foreign body aspiration from the lower respiratory tract. A 63-year-old female smoker with a history of chronic alcoholism and exposure to pyrotechnic smoke presented a productive cough, with whitish expectoration, dyspnea and pleuritic chest pain on the right side. On chest X-ray, she presented opacity in 2/3 of the right hemithorax. Computed axial tomography revealed consolidation with an air bronchogram on the right hemithorax, cylindrical bronchiectasis, ground glass pattern and centrilobular nodules. Bronchoscopic examination revealed a foreign body covered with granulation tissue in the right segmental bronchus (B6). The granulation tissue was integrated into the foreign body. In a second attempt, the foreign body could be removed, which was of bone consistency, seemingly a bird bone, confirmed by pathological anatomy results. After further questioning, the patient reported that two years before, she had choked when eating chicken. She had a cough and an episode of hemoptysis, but she chose not to ask for medical advice.
AB - Foreign body aspiration is a rare but life-threatening event. Most accidental aspiration events occur in children. In adults, it can represent up to 25% of cases. Bronchoscopy remains the gold standard for diagnosing and treating foreign body aspiration from the lower respiratory tract. A 63-year-old female smoker with a history of chronic alcoholism and exposure to pyrotechnic smoke presented a productive cough, with whitish expectoration, dyspnea and pleuritic chest pain on the right side. On chest X-ray, she presented opacity in 2/3 of the right hemithorax. Computed axial tomography revealed consolidation with an air bronchogram on the right hemithorax, cylindrical bronchiectasis, ground glass pattern and centrilobular nodules. Bronchoscopic examination revealed a foreign body covered with granulation tissue in the right segmental bronchus (B6). The granulation tissue was integrated into the foreign body. In a second attempt, the foreign body could be removed, which was of bone consistency, seemingly a bird bone, confirmed by pathological anatomy results. After further questioning, the patient reported that two years before, she had choked when eating chicken. She had a cough and an episode of hemoptysis, but she chose not to ask for medical advice.
KW - aspiration
KW - bronchoscopy
KW - foreign body
KW - pneumonia
UR - http://www.scopus.com/inward/record.url?scp=85104163266&partnerID=8YFLogxK
U2 - 10.5867/medwave.2021.02.8136
DO - 10.5867/medwave.2021.02.8136
M3 - Article
C2 - 33830977
AN - SCOPUS:85104163266
SN - 0717-6384
VL - 21
JO - Medwave
JF - Medwave
IS - 2
M1 - e8136
ER -