Abstrakt: |
The authors present the case of a child, aged 1 year and 5 months, admitted to the 2nd Pediatric Clinic of the Emergency County Hospital in Craiova, with a suspicion of aspiration or ingestion of a foreign body (grass inflorescence), which occurred during a respiratory intercurrence. The paper describes the evolution from the first admission when the child presented poor general condition, fever, antalgic position of right lateral decubitus, abdominal meteorism, cough, respiratory failure, stetacustic lung, right axillary decreased vesicular murmur, subcrepitant rales in the right lung area. The pediatric surgery examination, the abdominal x-ray on empty stomach, and the abdominal ultrasound examination excluded the possibility of ingestion while the bronchoscopy examination revealed no foreign body. Later on, the patient presented right pneumothorax. After a calm six-month-period, the child removes, in a fit of coughing, the grass inflorescence, followed by hemoptysis. Later, bronchiectasis is highlighted, at the level of the terminal bronchus on the right side, following a bronchoscopic examination performed one month after the elimination of the grass inflorescence. [ABSTRACT FROM AUTHOR] |