Case report of recurring pneumonia due to unusual foreign body aspiration in the airway

Título traducido de la contribución: Reporte de caso de neumonía recurrente por aspiración de cuerpo extraño insólito en vía aérea

Luis Alejandro Rodríguez Hidalgo, Luis Alberto Concepción-Urteaga, Julio Hilario-Vargas, Jorge Luis Cornejo-Portella, Diana Cecilia Ruiz-Caballero, Deysi Leslie Rojas-Vergara

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

Resumen

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.

Título traducido de la contribuciónReporte de caso de neumonía recurrente por aspiración de cuerpo extraño insólito en vía aérea
Idioma originalInglés
Número de artículoe8136
PublicaciónMedwave
Volumen21
N.º2
DOI
EstadoPublicada - mar. 2021
Publicado de forma externa

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