Abstract
Tracheobronchial foreign body aspiration in children represents a diagnostic and therapeutic emergency in the practice of pediatricians and ENT specialists. Delaying the diagnostic and, implicitly, the bronchoscopic extraction of the foreign body can lead to complications, some even with vital prognosis. In this paper, the authors present from their personal experience two pediatric cases of tracheobronchial foreign bodies diagnosed and treated at different time intervals after the moment of aspiration.
Highlights
IntroductionTracheobronchial foreign body aspiration in children is nowadays still a frequent condition encountered in the pediatric and ENT services, characterized by a wide spectrum of presentations, from minimal symptoms that can go unnoticed, to various degrees of respiratory failure and even death by suffocation [1]
Tracheobronchial foreign body aspiration in children is nowadays still a frequent condition encountered in the pediatric and ENT services, characterized by a wide spectrum of presentations, from minimal symptoms that can go unnoticed, to various degrees of respiratory failure and even death by suffocation [1].Currently, in Romania there is no national database of the cases of tracheobronchial foreign body aspiration
In Romania there is no national database of the cases of tracheobronchial foreign body aspiration
Summary
Tracheobronchial foreign body aspiration in children is nowadays still a frequent condition encountered in the pediatric and ENT services, characterized by a wide spectrum of presentations, from minimal symptoms that can go unnoticed, to various degrees of respiratory failure and even death by suffocation [1]. 2 years and 2 months old female patient was hospitalized in our department for fever, mixed dyspnea and foreign body aspiration suspicion Her past medical history revealed that the patient is known from infancy with airway hyperresponsiveness in infectious context, being exposed to the respiratory tract infections of her older sister, who is frequenting the kindergarten. The spastic cough persisted for 7 days and the physical examination revealed bronchial rales and a slightly prolonged expiration, which persisted for 48 hours Because of these symptoms, we repeated the chest X-ray 5 days after the bronchoscopy. The onset of symptoms was one month prior to admission with dry cough, wheezing and fever (38 degrees C) She was hospitalized for two days in another medical unit with the diagnosis of laryngotracheobronchitis and she received treatment with oral antibiotics, inhaled bronchodilators and anti-inflammatory drugs. We have interpreted the recurrent infections as being favored by the structural changes in the respiratory tract, caused by the delayed diagnostic of foreign body aspiration
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