FOREIGN BODY ASPIRATION IN CHILDREN: A HIDDEN DANGER

Authors

  • Marlene Rodrigues Pediatric Department of Hospital de Braga
  • Joana Teixeira Pediatric Department of Hospital de Braga
  • Patrícia Nascimento Pediatric Department of Hospital de Braga
  • Susana Carvalho Pediatric Department of Hospital de Braga
  • Augusta Gonçalves Pediatric Department of Hospital de Braga
  • José Almeida Pneumology Department of Centro Hospitalar de Vila Nova de Nova de Gaia/Espinho
  • Cristiana Ribeiro Pediatric Department of Hospital de Braga

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v25.i3.10083

Keywords:

foreign-body, dysphagia, dysphonia, airway obstruction

Abstract

Introduction: Foreign body aspiration (FBA) is a common pediatric emergency and an important cause of accidental death in children. The majority of cases occur with small organic or inorganic objects in preschool age. FBA may be associated with a broad spectrum manifestations and its diagnosis represents a challenge.

Case report: We report a case of a two-year-old child admitted in the emergency department with cough, dysphonia and dysphagia. On physical examination she had persistent cough, mild respiratory distress and inspiratory / expiratory wheezing and bilaterally dispersed snoring in auscultation. The chest radiograph showed bilateral hilar reinforcement, most notably on the right side. Otolaryngology evaluation, including nasolaringofibroscopy, had no alterations. Bronchoscopy revealed a vegetable foreign body causing obstruction greater than 50% of right main bronchus lumen.

Conclusion: The aim of this report is to emphasize the need to maintain a high index of suspicion concerning the possibility of FBA, because the late recognition can lead to irreversible consequences.

References

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Associação para a Promoção da Segurança Infantil. Acessível em http://www.apsi.org.pt

Published

2016-09-30

How to Cite

Rodrigues, M., Teixeira, J., Nascimento, P., Carvalho, S., Gonçalves, A., Almeida, J., & Ribeiro, C. (2016). FOREIGN BODY ASPIRATION IN CHILDREN: A HIDDEN DANGER. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 25(3), 173–176. https://doi.org/10.25753/BirthGrowthMJ.v25.i3.10083

Issue

Section

Case Reports

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