RARE COMPLICATION OF A FOREIGN BODY ASPIRATION IN CHILDREN
DOI:
https://doi.org/10.46793/PP240208021MKeywords:
foreign body aspiration, children, subcutaneous emphysema, bronchoscopyAbstract
Introduction: foreign body aspiration (FBA) is life treathening condition with 64% of cases occured in children between 1 and 3 years of age.
Case outline: A 2- year old boy, was admitted due to cough, swelling of the neck, shortness of breath and agitation.. A month before the current hospitalization, the child was treated for acute upper respiratory tract infection. The child was aggitated, with permanent irritating cough, from time to time laryngeal. Swelling of the neck and upper chest, mainly on left side with fine crepitations were present. Physical examination revealed auscultatory asimetry in breathing sound, reduced air entry on the right side with monofonic wheeze on the same side. Lung X-ray: hyperinflation on the right with paracardial consolidation on the right and subcutaneous emphysema on the neck and chest. Laboratory analyses were within referent levels. Due to the suspicion of aspiration of a foreign body, a bronchoscopy was performed, a foreign body was seen in the entrance of bronchus for medium and lower right lobe and its extraction was performed. Afther successfully removal of foreign body, the child was clinically stabilized and discharged fron intensive care unit.
Conclusion: The clinical finding of foreign body aspiration depends on the level at which the airway obstruction occurred. The majority of patients exhibit a paroxysmal cough, while respiratory distress and cyanosis indicate obstruction of the major airway when urgent intervention is necessary. Sometimes, a prolonged finding on the lungs with clinical symptoms indicates the oversight of foreign body aspiration when complications can be expected.
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