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Case Series
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| Respiratory failure in adults due to foreign body aspiration: A case series | ||||||
| Lycke R. Woittiez1,2, Elsbeth J. Wesselink1, Marcel A. de Leeuw1,3, Cornelis Slagt1,4 | ||||||
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1Zaans Medical Center, Koningin Julianaplein 58, 1502 DV Zaandam, The Netherlands.
2Academic Medical Center, Department Internal Medicine, p.o. box 22660, 1100 DD Amsterdam. 3VU University Medical Center, Postbus 7057, 1007 MB Amsterdam, The Netherlands. 4Radboud University Medical Center, Department Anaesthesia, Pain and Palliative Medicine, Geert Grooteplein-Zuid 10, 6500 HB Nijmegen, The Netherlands. | ||||||
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| How to cite this article |
| Woittiez LR, Wesselink EJ, de Leeuw MA, Slagt C. Respiratory failure in adults due to foreign body aspiration: A case series. Int J Case Rep Images 2016;7(6):422–426. |
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Abstract
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Introduction:
Foreign body aspiration (FBA) is rare in adults and its clinical presentation can be very diverse. Acute symptoms as dyspnea and choking are often immediately linked to FBA. However, mild or even asymptomatic chronic pulmonary symptoms can be presented as a result of FBA. Physical examination is usually nonspecific. Chest X-ray is often normal or shows nonspecific findings. Treatment and definite diagnosis can be accomplished using rigid or flexible bronchoscopy.
Case Series: We present two cases of foreign body aspiration. The first case was the aspiration of a broken tracheostomy tube leading to acute respiratory failure and the second case was the aspiration of a medication blister which initially presented as atypical chronic pulmonary symptoms but evolved to a medical emergency of acute respiratory failure. Conclusion: These two cases show the broad range of symptoms and findings associated with FBA. When patients present with nonspecific pulmonary findings, FBA should be included in the differential diagnosis. | |
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Keywords:
Aspiration, Bronchoscopy, Chest X-ray, Foreign body, Pulmonary medicine, Respiratory failure
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Author Contributions:
Lycke R. Woittiez – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Elsbeth J. Wesselink – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Marcel A. de Leeuw – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Cornelis Slagt – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Lycke R. Woittiez et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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