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

Autor: Rodríguez Hidalgo LA; Hospital Regional Docente de Trujillo, Trujillo, Perú; Facultad de Medicina de la Universidad Nacional de Trujillo, Trujillo, Perú. Email: alejandrorh@outlook.com.Address: Manzana A Lote 1-M, Urbanización Los Portales del Golf, Perú. ORCID: 0000-0001-9459-0707., Concepción-Urteaga LA; Hospital Regional Docente de Trujillo, Trujillo, Perú; Facultad de Medicina, Universidad Nacional de Trujillo, Trujillo, Perú. ORCID: 0000-0003-0462-3101., Hilario-Vargas J; Facultad de Medicina, Universidad Nacional de Trujillo, Trujillo, Perú. ORCID: 0000-0002-8656-6843., Cornejo-Portella JL; Hospital Regional Docente de Trujillo, Trujillo, Perú. ORCID: 0000-0001-5555-8827., Ruiz-Caballero DC; Hospital Regional Docente de Trujillo, Trujillo, Perú. ORCID: 0000-0003-1342-9167., Rojas-Vergara DL; Hospital Regional Docente de Trujillo, Trujillo, Perú. ORCID: 0000-0001-5453-8998.
Jazyk: Spanish; Castilian; English
Zdroj: Medwave [Medwave] 2021 Mar 25; Vol. 21 (2), pp. e8136. Date of Electronic Publication: 2021 Mar 25.
DOI: 10.5867/medwave.2021.02.8136
Abstrakt: 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.
Databáze: MEDLINE