The present article is aimed at answering the fundamental hypothesis that the buying decision for ENT (Ear Nose Throat)children prescribed drugs and the choice of doctors are influenced to a great extent by the parents' use of mobile media communications. Authors have done a qualitative exploratory research as an in-depth interview with parents having children between 0 and 10 years of age, who are actively under an ENT treatment scheme. The results are showing that frequent users of mobile media communication software perceive the use of the software as being very easy and at hand, having the availability to communicate with the ENT doctor. The treatments prescribed by the doctor are validated before other suggestions received from the acquaintances, family etc. and alternative drugs, from the point of view of the active substances, are sought in a differentiated manner, especially if prescribed drugs are seen as having undesirable side effects on children. Rezumat Prezentul articol își propune să ofere un răspuns avansării ipotezei potrivit căreia deciziile de cumpărare a medicamentelor din sfera ORL (OtoRinoLaringologie) pentru copii și alegerea medicilor specialiști sunt influențate în mare măsură de utilizarea softurilor de comunicații media-mobilă de către părinți. În acest sens, autorii au realizat o cercetare exploratorie calitativă sub forma unui interviu cu părinții care au copii între 0 și 10 ani și care au avut sau au o schemă de tratament ORL. Rezultatele denotă faptul că utilizatorii frecvenți ai acestor softuri de comunicație media mobilă percep utilizarea softului ca fiind foarte facilă și la îndemână, având disponibilitatea și pentru comunicarea cu medicul ORL. Tratamentele prescrise de către medic sunt validate înaintea altor sugestii primite de la cunoștințe, familie iar medicamentele alternative din punct de vedere a substanțelor active sunt căutate în mod diferențiat, în special în cazul în care medicamentele prescrise sunt interpretate ca având efecte secundare nedorite asupra copiilor.

IntroductionForeign body aspiration is a common occurrence in children, especially among those younger than 3 years of age and is a potentially life-threatening event. Chronic debilitating symptoms with recurrent infections might happen with delayed diagnosis.Case reportA 1 year 7 months old boy was admitted with a 2 month history of recurrent episodes of productive cough and high fever, progressive worsening despite empirical antibiotic therapy, with severe dyspnea, intense coughing and perioral cyanosis. His symptoms have followed a choking episode while eating sunflower seeds, ignored by the parents. Physical examination revealed a well-nourished child, in moderate respiratory distress, tachypnea, persistent productive cough, dullness to percussion and abolished breath sounds of inferior half of the left lung field and crackles, bronchial breathing in the upper half. Oxygen saturation and other systemic examination were normal. Laboratory investigation showed leukocytosis, neutrophilia, severe inflammatory syndrome, and the chest x-ray with completely opaque left hemithorax. We presumed the diagnosis of bronchial foreign body aspiration and started medical treatment with complex systemic antibiotic, antimycotic, bronchodilator and anti-inflammatory agents. Rigid bronchoscopy revealed significant stenosis of the left main bronchus, possible granuloma, mucosal oedema, bronchiectasis with thick secretions and a vegetable foreign body which was removed. During the examination, a large quantity of foetid mucopurulent liquid was drained. Other two successive bronchoscopies were necessary for bronchoalveolar lavage. Bronchial aspirate culture was positive for Acinetobacter baumanii. Thoracic CT confirmed significant stenosis and complete atelectasis of the left lung, with air leakage areas included. The medical treatment was continued and the patient was discharged with clinical and laboratory improvement of his condition. Though, chronic bronchial obstruction with bronchiectasis and destruction of lung parenchyma requires surgical care. Pneumectomy versus inserting a bronchial stent are yet to be discussed.ConclusionDelayed diagnosis of foreign body aspiration may associate serious complications, particularly for vegetable matter, being responsible for intense inflammatory response and bronchopulmonary suppurations. Careful anamnesis is required to identify those needing additional investigation for early diagnosis.