Endobronchial Foreign Body (FB): A Rare Cause of Empyema

Mehta, Asmita; Gupta, Amit; Ks, Aziz; Venkitakrishnan, Rajesh

doi:10.7860/jcdr/2015/12847.5820

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…Most patients recover completely after the successful removal of foreign objects by bronchoscopy. [ 13 , 14 ] This patient still had cough and sputum after almost all of the aspirated Coptis chinensis was successfully extracted possibly, due to the irreversible damage by such long-term stay of Coptis chinensis and residual fragments in distal airways that could not be extracted.…”

Section: Discussionmentioning

confidence: 99%

Diagnose of occult bronchial foreign body

Wang

Pudasaini²,

Wang³

2016

Medicine

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Background:Occult bronchial foreign body can be very difficult to diagnose early in an adult patient without acute symptoms. This report describes a rare case of undetected Chinese medicine “Coptis chinensis” aspiration for 10 long years.Methods:A case was reported that a female patient complained of a 10-year history of productive cough. A battery of tests were given to confirm the diagnosis.Results:Chest computed tomography (CT) showed extensive bronchiectasis and multiple nodules, along with stenosis of left lower lobar bronchus. An extensive solid lesion with surrounding inflammatory granulation tissue was seen on her first bronchoscopy and biopsy revealed chronic mucosal inflammation. A neglected history of Coptis chinensis regularly kept in-mouth while sleeping for the last 10 years in this patient provided clues for a final diagnosis. Confirmatory diagnosis of bilateral tracheobronchial foreign bodies caused by recurrent inhalation of Coptis chinensis was made by a second bronchoscopy.Conclusions:This case clearly demonstrates that a precise medical history is often overlooked. A high index of suspicion, a precise medical history, radiographic features of chronic respiratory symptoms not explained by other conditions were keys to diagnosing this case.

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Section: Discussionmentioning

confidence: 99%

Diagnose of occult bronchial foreign body

Wang

Pudasaini²,

Wang³

2016

Medicine

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“…Procenjuje se da čini oko 15% obolelih sa pneumonijom ali ova učestalost je veća kod poremećaja stanja svesti (cerebrovaskularni insult, alkoholizam, stanje posle opšte anestezije, trovanje lekovima i dr.), neuroloških oboljenja (parkinsonizam, miastenia gravis, epilepsija i dr.), disfagije, mehaničkog ometanja funkcije glotisa i ezofagealnih sfinktera (traheostoma, ishrana putem nazogastrične sonde, bronhoskopija) kao i starijih osoba sa hroničnim udruženim bolestim (16). Aspiraciona pneumonija predstavlja uzrok smrti u skoro 20 % osoba u staračkim domovima (19). Komplikacije mogu da se jave u vidu apscesa pluća, empijema pleure i bronhopleuralne fistule.…”

Section: Aspiraciona Pneumonija I Pneumonitisunclassified

Tracheobronchial aspiration syndrome

Pešut¹,

Nagorni-Obradović²,

Zugic³

et al. 2017

Medicinska istraživanja

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Aspiration-inhalation of solid or liquid materials into the airways-occurs when solids or liquids are introduced into the supraglottic area rapidly or in large volumes or when airway defences are reduced by structural abnormalities or neurological impairment. Tracheobronchial aspiration (TBA) syndrome is currently among leading causes of morbidity and mortality in the world when it comes to accidents, and it is the leading cause in one-year-old children. During the last several years, destructive effects of some food and drugs on respiratory system have been revealed. TBA may cause no complications at all or may result in a range of complications from paroxysmal cough to respiratory failure and lethal outcome. Rapid diagnosis is of utmost importance in correct interventions that should be done in a timely manner, and in prevention of complications, which are sometimes irreversible. This is a review of TBA syndrome etiopathogenesis with special reference to those caused by solid foreign bodies, including those of biological origin, hydrocarbons, lipids, and water-drowning. Special attention is given to TBA syndrome in children, and to complications such as aspiration pneumonia and pneumonitis. Current approach in treatment of the syndrome is explained in dependence of its etiology. Importance, indications and possibilities of interventional bronchoscopy are highlighted.

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