Unsuspected foreign-body aspiration in adult patient with status asthmaticus: Case report
| Autor: | Eliana I. Morales, Diego F. Bautista, Liliana Fernández-Trujillo, Valeria Lopez-Castilla, Valeria Zúñiga-Restrepo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine Bronchoscopy Case report medicine Extracorporeal membrane oxygenation Intensive care medicine Surgical team Foreign bodies medicine.diagnostic_test business.industry General Medicine medicine.disease Asthma Foreign body aspiration 030220 oncology & carcinogenesis Accidental 030211 gastroenterology & hepatology Surgery Foreign body Differential diagnosis Airway business Respiratory insufficiency |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| Popis: | Introduction Accidental foreign body aspiration can cause severe damage to the airway and threaten the patient's life. This situation requires multidisciplinary and systematic approach from the medical and surgical team, in order to achieve complete resolution maintaining airway permeability. Presentation of case This is a 49 y/o man who presented with a severe asthma attack, in whom an unsuspected foreign body in the inferior airway was diagnosed, which was possibly the result of aspiration during the initial emergency care, causing worsening of the already critical condition. Discussion We described the clinical course, radiologic and endoscopic findings, and outcome of the patient, highlighting the importance of considering the possibility of a foreign body in the airway, when there is no improvement in refractory status asthmaticus. This is particularly important in a university hospital. Moreover, the implementation of checklists when invasive procedures are performed can avoid loss of material, preventing iatrogenic aspiration events. Conclusion Foreign body aspirations may remain undetected due to lack of suspicion, especially in adults, in whom they can cause chronic symptoms, or worsen chronic respiratory conditions turning them into more complex diseases. This cause must be considered in the differential diagnosis of refractory status asthmaticus. Highlights • Accidental foreign body aspiration can cause severe damage to the airway. • This situation can threaten the patient's life. • Requires multidisciplinary and systematic approach from the medical and surgery team. • The goal is to achieve complete resolution maintaining airway permeability. |
| Databáze: | OpenAIRE |
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