Bilateral airway foreign body aspiration as a cause of recurrent pneumonia (original) (raw)
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European Respiratory Journal, 1994
A 25 year old, nonsmoking white male was admitted to the Emergency Department following suicidal aspirin poisoning. After gastric lavage and X-ray examination, he was transferred to the Pulmonology Department with suspicion of right lung partial atelectasis, probably due to aspiration of a foreign body. He had a history of repeated bronchial infections with dyspnoea, since early childhood. There was no available medical documentation from a period of hospitalization at the age of 12 yrs.
A 54 -year-old man with cough and dyspnea
Tanaffos, 2012
A 54-year-old male, farmer with a history of dyspnea from 10 years ago, developed increased sputum production, coughing and blood-streaked sputum and hospitalized for further investigations. He was a current smoker (17pack/year) and oral opium addict. Spirometry revealed severe airflow obstruction with FVC: 45%, FEV1: 31%, and FEV1/FVC: 51%. Considering cheat x-ray findings, the patient underwent chest HRCT (Figures 1 A and B). Serum immunoglobulins and IgG subclasses assessment and sweat test were performed and all were normal. Biochemistry tests were also performed, and liver and renal function tests, electrolytes, peripheral blood leukocyte counts, hemoglobin, and platelet count were all normal. ESR was 57mm/hr, and serum as well as sputum galactomannan were negative for aspergillosis. Bronchoscopy was performed; bronchoalveolar lavage fluid smear and culture were negative for pathogenic bacteria, fungi, and mycobacterium. Histopathological examination of the bronchial biopsy specimen showed chronic non-specific inflammation.
Multiple Foreign Body Aspiration and Bronchiectasis
Journal of Bronchology, 2006
This 64-year-old man presented with cough, purulent expectoration, and hemoptysis for 5 years; received repeated courses of antibiotics. Computed tomography thorax revealed bronchiectasis. At flexible bronchoscopy, 2 betel nuts and a peanut were removed from both lower lobes and right upper lobe, respectively. After this, his symptoms improved. Though uncommon, multiple foreign body aspirations in different parts of the lung are possible. Bronchoscopists must perform thorough evaluation of the endobronchial tree after extraction of a foreign body to rule out such an occurrence.
An occult foreign body aspiration with bronchial anomaly mimicking asthma and pneumonia
Dental Traumatology, 2007
Foreign body aspiration (FBA) is a common, serious and potentially life-threatening occurrence in young children, but infrequent amongst in adults (1, 2). The diagnosis of FBA is generally missed or delayed and the patients present later with chronic symptoms and complications such as cough, stridor, wheezing, obstructive pneumonitis, bronchiectasis and abscess secondary to recurrent pulmonary infections (3-6). We report an adult patient with a delayed diagnosis of FBA and bronchial anomaly and emphasize the importance of medical history, careful physical examination and radiological signs after trauma because of the clinical outcomes of FBA.
An 84-Year-Old Man With Acute Dyspnea and Chronic Radiographic Findings
CHEST Journal, 2013
A n 84-year-old man presented to the ED with acuteonset shortness of breath. He denied cough, sputum production, hemoptysis, wheezing, pleuritic chest pain, fever, leg pain or swelling. He was active and in his normal state of health until the onset of this acute episode of dyspnea. He did not have a history of a recent hospitalization, surgery, or long travel. He denied chronic respiratory symptoms before the current episode. His medical history was unremarkable except for hypothyroidism for which he was taking levothyroxine. The patient had no history of pulmonary TB or fungal infection. He had a 5-pack-year smoking history and quit before age 40 years. He worked as a dental technician for. 40 years. Physical Examination Findings Physical examination revealed a cachectic elderly man in mild respiratory distress. His BP was 111/80 mm Hg; heart rate, 81/min; respiratory rate, 19/min; and pulse oximetry, 98% saturation on 2 L/min oxygen through nasal cannula. He had no clubbing, cyanosis, or lymphadenopathy. Chest auscultation was normal and revealed no adventitious sounds. The rest of his clinical examination was unremarkable. Diagnostic Studies Laboratory investigation revealed a normal blood cell count and basic chemistry panel. Troponin levels were elevated to 0.23 m g/L, and D-dimer was. 20.0 m g/mL fi brinogen equivalent units. ECG showed normal sinus rhythm with right bundle branch block. The admission chest radiograph is shown in Figure 1. CT scan and pulmonary angiogram were performed; representative sections are shown in Figure 2. Three sputum samples were negative for acid-fast bacillus. Tuberculin skin test was negative.
Repeated lung infections. Scimitar syndrome
European Respiratory Journal
A 25 year old, nonsmoking white male was admitted to the Emergency Department following suicidal aspirin poisoning. After gastric lavage and X-ray examination, he was transferred to the Pulmonology Department with suspicion of right lung partial atelectasis, probably due to aspiration of a foreign body. He had a history of repeated bronchial infections with dyspnoea, since early childhood. There was no available medical documentation from a period of hospitalization at the age of 12 yrs.