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Chicken bone in the bronchus masquerading as bronchopneumonia in an asthmatic boy

Nurul Farahiyah Abdullah1,2, Shamina Saramoses2, Norzi Gazali2, Irfan Mohamad1

Affiliation and address for correspondence
Pediatr Med Rodz 2018, 14 (3), p. 346–349
DOI: 10.15557/PiMR.2018.0044
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Abstract

Aim of the study: To emphasise the importance of a thorough history to exclude foreign body inhalation in children presenting with respiratory symptoms. Case study: We report a case of a 2-year-old boy with underlying bronchial asthma, who presented with cough and difficulty breathing of two-day duration, with no stridor. He was treated for acute exacerbation of bronchial asthma and bronchopneumonia. However, the symptoms persisted despite treatment. A detailed history revealed a choking episode while eating chicken curry prior admission. Bronchoscopy confirmed the presence of a piece of chicken bone in the left main bronchus, which was removed. The child was in good overall condition after the operation. Chest radiograph showed resolved lung collapse. Conclusion: A thorough history to exclude foreign body ingestion is necessary to avoid delayed complications of foreign body aspiration.

Keywords
bronchopneumonia, foreign body inhalation, bronchus

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