Late diagnosis of foreign body aspiration in children with chronic respiratory symptoms

2007 ◽  
Vol 71 (2) ◽  
pp. 241-246 ◽  
Author(s):  
F. Karakoc ◽  
E. Cakir ◽  
R. Ersu ◽  
Z.S. Uyan ◽  
B. Colak ◽  
...  
Keyword(s):  
Foreign Body ◽  
Respiratory Symptoms ◽  
Foreign Body Aspiration ◽  
Late Diagnosis

Acquired tracheo-oesophageal fistula in a child with unrecognised tracheal foreign body

2021 ◽  
Vol 14 (4) ◽  
pp. e240947
Author(s):  
Kanokpan Ruangnapa ◽  
Wanaporn Anuntaseree ◽  
Kantara Saelim ◽  
Pharsai Prasertsan
Keyword(s):  
Foreign Body ◽  
Young Children ◽  
Respiratory Symptoms ◽  
Growth Failure ◽  
Late Diagnosis ◽  
Feeding Intolerance ◽  
Recurrent Pneumonia ◽  
High Index Of Suspicion ◽  
Careful Investigation

We report the case of a 6-month-old girl who presented with recurrent pneumonia and growth failure. After full examination, she was diagnosed with long-standing, unrecognised tracheal foreign body, which was then successfully removed. However, her chronic respiratory symptoms did not improve, and she also had feeding intolerance. The persistence of symptoms indicated a second bronchoscopy and finally an acquired tracheo-oesophageal fistula was diagnosed. This case emphasises the challenges in diagnosis of an inhaled foreign body in young children. Late diagnosis of this condition can cause significant morbidities. A high index of suspicion and careful investigation are very important to prevent long-term complications.

P130 Severe bronchopulmonary suppuration following late diagnosis of foreign body aspiration – paediatric case report

2017 ◽  
Author(s):  
Lavinia Marin ◽  
Georgiana Mihaela B&acaron;lan ◽  
Ioana Andreea Corneanu ◽  
M&acaron;d&acaron;lina Laura Boitaş ◽  
Iulia Necula ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Foreign Body Aspiration ◽  
Late Diagnosis ◽  
Paediatric Case

scholarly journals An Unusual Case of Foreign Body Aspiration: A Case Report

2017 ◽  
Vol 6 (2) ◽  
pp. 47-49
Author(s):  
Kuntal Roy ◽  
Syed Khairul Amin ◽  
Mumtahina Setu ◽  
Tarannum Khondaker ◽  
Nandita Sur Chowdhury
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Young Children ◽  
Clinical Examination ◽  
Respiratory Symptoms ◽  
Unusual Case ◽  
Foreign Body Aspiration ◽  
Delay In Diagnosis ◽  
Medical College ◽  
Careful History

Foreign body aspiration most commonly affects young children, with respiratory symptoms such as wheeze and cough after a choking episode. A careful history and clinical examination can identify those children that need additional investigation including bronchoscopy. However foreign body aspiration can mimic other conditions. The link between choking and subsequent symptoms may not be made by parents. We present a case with a delay in diagnosis, and discuss the appropriate management of suspected foreign body aspiration.Anwer Khan Modern Medical College Journal Vol. 6, No. 2: July 2015, P 47-49

scholarly journals Subglottic Chicken Bone in a Five Months old Baby

2009 ◽  
Vol 48 (174) ◽  
pp. 170-2
Author(s):  
Sanjay Prakash ◽  
C L Bhusal ◽  
K Acharya ◽  
B K Sinha
Keyword(s):  
Foreign Body ◽  
Young Children ◽  
Respiratory Symptoms ◽  
Foreign Body Aspiration ◽  
Chicken Bone ◽  
Air Passage

Foreign body aspiration most commonly affects young children,with respiratory symptoms such as wheeze and cough after a chokingepisode. When the foreign body is fi rst inhaled as per witnessed by the parents or caregiver there is always choking or gaging episode, followed by a coughing spell. The absence of a cough strongly rules out the possibility of foreign body having entered the air passage. Here we report a case of chicken bone inhaled as foreign body in a fi ve months old baby.Key Words: bone, chicken, subglottic

scholarly journals Clinical Variables Responsible for Early and Late Diagnosis of Foreign Body Aspiration in Pediatrics age Group

2020 ◽  
Author(s):  
Samarth Goyal ◽  
Shubhika Jain ◽  
Guruprasad Rai ◽  
Rajkamal Vishnu ◽  
Ganesh Sevagur Kamath ◽  
...  
Keyword(s):  
Foreign Body ◽  
Tertiary Care ◽  
Diagnostic Algorithm ◽  
Clinical Findings ◽  
Foreign Body Aspiration ◽  
Late Diagnosis ◽  
Medical Emergency ◽  
Care Hospital ◽  
Age Group ◽  
Main Complaint

Abstract Background Incidence of foreign body aspiration ( FBA ) has been noticed maximally in age group ranging from 12 months-3 years. Foreign body in the trachea is a medical emergency as presentation is of respiratory distress. Obstruction of only one main or distal bronchus, leads to severe cough, choking sensation and breathlessness. Without early intervention it can lead to collapse, consolidation and pneumonia of the affected lung. Methods We retrospectively analysed 37 pediatric case records who presented from January 2014-December 2018 with FBA. Our primary aim was to assess the parameters responsible for early and late diagnosis of FBA. We concluded with a diagnostic algorithm for management of FBA on the basis of this outcomes. Results Around 32.5% came with a history of aspiration, 43% were referred from primary centers with a suspicion for the same and the rest came our tertiary care hospital directly. Those who presented within a week came with complaints of wet cough, wheeze and tachypnea where as those who came in after a week had dry cough and fever as their main complaint. Majority of ingested foreign body was vegetative type (80%) as compared to the non -vegetative material (20%). Conclusion Unlike adults, FBA in children is most commonly diagnosed on history, suspicion and clinical findings. Chest x ray has been the primary investigation of choice but in majority of the cases it was normal with subtle changes. Early diagnosis is the key to avoid complication.

scholarly journals Clinical Variables Responsible for Early and Late Diagnosis of Foreign Body Aspiration in Pediatrics Age Group

2020 ◽  
Author(s):  
Samarth Goyal ◽  
Shubhika Jain ◽  
Guruprasad Rai ◽  
Rajkamal Vishnu ◽  
Ganesh Sevagur Kamath ◽  
...  
Keyword(s):  
Foreign Body ◽  
Tertiary Care ◽  
Diagnostic Algorithm ◽  
Clinical Findings ◽  
Foreign Body Aspiration ◽  
Late Diagnosis ◽  
Medical Emergency ◽  
Care Hospital ◽  
Age Group ◽  
Main Complaint

Abstract Background: Incidence of foreign body aspiration has been noticed predominantly in age group ranging from 12 months-3 years. Foreign body in the trachea is a medical emergency as presentation is in respiratory distress. Obstruction of only one main or distal bronchus, leads to severe cough, choking sensation and breathlessness. Without early intervention, it can lead to collapse, consolidation and pneumonia of the affected lung. Methods: We retrospectively analyzed 37 pediatric case records who presented from January 2014-December 2018 with foreign body aspiration. Our primary aim was to assess the parameters responsible for early and late diagnosis of foreign body aspiration. We concluded with a diagnostic algorithm for management of foreign body aspiration on the basis of this outcome.Results: Around 32.5% came with a history of aspiration, 43% were referred from the primary centers with a suspicion for the same and the rest came to our tertiary care hospital directly. Those who presented within a week came with complaints of wet cough, wheeze and tachypnea. Furthermore, those who came in after a week had a dry cough and fever as their main complaint. Majority of ingested foreign bodies was a vegetative type (80%) as compared to the non –vegetative.Conclusion: Unlike adults, foreign body aspiration in children is most commonly diagnosed on history, suspicion and clinical findings. Chest x ray has been the primary investigation of choice but in the majority of the cases it was normal with subtle changes. Early diagnosis is the key to avoid complication.

scholarly journals Delay in diagnosis of foreign body aspiration in children

2019 ◽  
Vol 49 (1) ◽  
Author(s):  
Fuad Brkić ◽  
Šekib Umihanić ◽  
Hasan Altumbabić
Keyword(s):  
Foreign Body ◽  
General Anesthesia ◽  
Bosnia And Herzegovina ◽  
Retrospective Review ◽  
Foreign Body Aspiration ◽  
Late Diagnosis ◽  
Early Referral ◽  
Main Symptom ◽  
Delay In Diagnosis ◽  
Significant Difference

Introduction: This study aims to compare the early and late diagnosis of foreign body aspiration (FBA) in children. Patients and methods: A pediatric rigid bronchoscpe under general anesthesia was used to identify and extract the foreign body in 48 children up to 14 years old. A retrospective review of a 4-year experience (from 2011 to 2014) in ENT Clinic Tuzla, Bosnia and Herzegovina. Results: The were slight prevalence of boys, the majority were up to three years, average time for bronchoscopy was 90.7 hours. There was not significant difference between timing for bronchoscopy for children under and above three years. Near 100% children had timing for bronchoscopy less than one week. Conclusion: Delay in diagnosis of foreign body aspiration can produce morbidity in children and foreign body aspiration always has to be in mind when children have cough like main symptom. Early referral of patients following foreign body aspiration should be encouraged. 

Non-cardiogenic pulmonary oedema due to foreign body aspiration

1999 ◽  
Vol 113 (12) ◽  
pp. 1119-1121 ◽  
Author(s):  
A. Pahade ◽  
K. M. J. Green ◽  
J. P. de Carpentier
Keyword(s):  
Foreign Body ◽  
Airway Obstruction ◽  
Pulmonary Oedema ◽  
Respiratory Symptoms ◽  
Rare Complication ◽  
Foreign Body Aspiration ◽  
Cardiogenic Pulmonary Oedema ◽  
Acute Airway Obstruction

AbstractA patient who developed non-cardiogenic pulmonary oedema secondary to acute airway obstruction caused by an aspirated foreign body is presented. The literature is reviewed, discussing the theories regarding the formation of non-cardiogenic pulmonary oedema. The case highlights the importance of this rare complication of foreign body aspiration and surgeons and anaesthetists should be alert to continued respiratory symptoms following relief of acute airway obstruction.

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