Castillo-Latorre Christian, Hernandez Ilean Lamboy, Mercader-Perez Mariana, Rodriguez-Cintron William, Torres-Palacios Jose
VA Caribbean Healthcare System Pulmonary Medicine and Critical Care Fellowship Program, 10 Calle Casia, San Juan, 00921 Puerto Rico.
Radiol Case Rep. 2020 Nov 28;16(2):254-257. doi: 10.1016/j.radcr.2020.11.027. eCollection 2021 Feb.
Acute foreign body aspiration can cause severe damage to the respiratory system, leading to laceration and even death due to asphyxia. However, a foreign body that has been aspirated could go unnoticed acutely and lead to persistent shortness of breath symptoms. Most of the patients will be able to recall the acute aspiration event, but others do not. On the latter, a more meticulous approach will lead to the diagnosis and subsequent effective management. We hereby present the case of a 52-year-old male with history of partly controlled severe asthma and chronic persistent cough with bloody sputum. Upon evaluation, he was found with a right-sided pneumonia and pertinent history remarkable for several episodes of bronchitis in the past 3 years. There circumstances and subsequent images led to the successful finding and removal of a chronic foreign body aspirated 3 years prior to evaluation. A procedure led to almost complete resolution of symptoms of cough and asthma.
急性异物吸入可对呼吸系统造成严重损害，导致撕裂伤甚至因窒息死亡。然而，吸入的异物可能在急性期未被察觉，并导致持续的呼吸急促症状。大多数患者能够回忆起急性吸入事件，但也有一些患者不能。对于后者，更细致的检查方法将有助于诊断并进行后续有效的治疗。我们在此报告一例52岁男性患者，有部分控制的重度哮喘病史，伴有慢性持续性咳嗽和咯血痰。经评估，发现他患有右侧肺炎，过去3年有几次支气管炎发作的相关病史。这些情况及后续影像检查成功发现并取出了在评估前3年吸入的慢性异物。一次手术几乎完全缓解了咳嗽和哮喘症状。
