A child with suppurative lung disease by missed foreign body aspiration: a case report

Abid Hossain Mollah,Munadi Al Islam,Md Abu Talha,Tasnima Ahmed

doi:10.3329/bjms.v20i1.50374

Abstract

Airway foreign body aspiration (FBA)is a frequent problem that affects young children, present with acute respiratory distress and cough followed by sudden chocking. Prompt identification and early treatment can save the child from a life-threatening emergency.Delayed diagnosis due to lack of history and clinical suspicion may lead to permanent lung damage, which may be a curse for a lifetime.We share an experience of a 4½-year-old boy who presented with suppurative lung disease was associated with neglected FBA. Early diagnosis and intervention canprevent,and ultimately reduce long-term morbidity and mortality, along with improving the better outcome regarding FBA. Bangladesh Journal of Medical Science Vol.20(1) 2021 p.208-211

Highlights

Foreign body aspiration (FBA) is a common problem in children, which leads to potentially serious and sometimes fatal consequences.1FB aspiration is the second leading cause of accidental death among < 5 years of aged children.2Toprevent deadly complications of FBA, it is essential to prompt recognition and initiation of early intervention
FB may not be evident in X-ray chest, when it is made of thin plastic; difficult to be seen during endoscopy and hard to diagnose.15Confirmation of the diagnosis should be made with bronchoscopy but suspicion and history is very important.1Chest X ray didn’t show the classical earlier feature of unilateral hyperinflation rather showed, consolidation, bronchiectasiswhich is the late complication of FBs aspiration found in our case.7Likewise, In toddlers with unexplained persistent pneumonia with refractory parenchymal infiltrates, unrecognized FB aspiration should be considered.12As, neglected and retained FBs may result in pneumonia, atelectasis and bronchiectasis
Our case presented with recurrent attacks of fever, cough for long times which culminates into bronchiectasis

Summary

Introduction

Foreign body aspiration (FBA) is a common problem in children, which leads to potentially serious and sometimes fatal consequences.1FB aspiration is the second leading cause of accidental death among < 5 years of aged children.2Toprevent deadly complications of FBA, it is essential to prompt recognition and initiation of early intervention.

Results

Conclusion