Abstract

Introduction: Foreign body (FB) aspiration is a common cause of respiratory emergency in early childhood. Parents and care-givers are usually unaware of initial time of FB aspiration, and the varied symptoms may be confusing to them. Therefore, education on ways of avoiding the inci-dence is paramount, and prompt hospital presentation will reduce morbidity and mortality. Case Report: A 5 cm concrete nail, which was aspirated by a 2-year-old male Nigerian child of the Hausa ethnic group, was successfully removed by rigid bronchoscopy. We emphasize the need for more parental/care-givers’ education on foreign body aspiration among children. Conclusion: Infants commonly play with objects by inserting them in various orifices of their body. This, therefore, predisposes them to aspiration, which will go unnoticed at the time of aspiration. There is a need for repeated parental/care-givers’ education on dangers of allowing children to play alone. Parents/care-givers should be conversant with varied presentations of FB aspiration in children, as this will reduce the morbidity and mortality to the minimum.

Highlights

  • IntroductionForeign body (FB) aspiration is a common incident in infants and young children and can be life threatening

  • Foreign body (FB) aspiration is a common cause of respiratory emergency in early childhood

  • Foreign body (FB) aspiration is a common incident in infants and young children and can be life threatening

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Summary

Introduction

Foreign body (FB) aspiration is a common incident in infants and young children and can be life threatening. Delayed diagnosis of FBA can lead to serious problems for children, ranging from fatal airway obstruction to chronic wheezing, recurrent pneumonia or failure to thrive. This is a case report on a child who aspirated a 5 cm concrete nail. The symptoms and findings vary from an unaffected child in no apparent distress to impending airway failure This will depend on the location, size and chronicity of the aspirated FB. These early symptoms resolve when the mucosal cough receptors accommodate, and the patient may be asymptomatic when evaluated This may delay the diagnosis of a partial obstruction for weeks to months [9]. The possibility of a bizarre FB aspiration in a child is made clear, and we emphasize the need for more parental/care-givers vigilance in child upbringing

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