31 July 2009
Foreign body aspiration mimicking tuberculosis or lung tumour – case report
Irena Węgrzyn-Szkutnik, Beata Gryglicka, Marek Michnar, Janusz MilanowskiAm J Case Rep 2009; 10:113-115 :: ID: 878146
Abstract
Background: Bronchial foreign body aspiration is rare problem in adults. However, it is not an uncommon problem, particularly in children, the elderly and patients with neurological impairment. Aspiration of foreign bodies into the airways can remain undetected for months to years.
Case Report: We described here a case of 78-years-old nonsmoker male, who was hospitalized in our Department because of radiological and clinical suspicion of pulmonary tuberculosis. The patient underwent bronchoscopy and computed tomography. On flexible bronchoscopy, a tumor with necrosis occluded right upper lobe bronchus was identified. A CT scan of the thorax showed cavitations and fi brous changes in the right upper lobe as well as lymphadenopathy with right upper bronchus compression. However, the pulmonary tuberculosis as well as lung cancer were not confirmed in bacteriological and histopathological examination. A second fibreoptic bronchoscopy was done to evaluate the aetiology of lung abnormality. This showed the foreign body and allowed the successful
removal of chicken bone. The patients recovered with no residual respiratory symptoms over one year.
Conclusions: The foreign body may be present in the bronchi despite complete unawareness of the patient about aspiration and should be considered in the diagnosis of clinical symptoms and radiological lesions of unclear aetiology. In some cases despite the radiological features of tuberculosis, more intensive examinations should be administrated which could confirm diagnosis. In such cases bronchoscopies, sometimes repeated, are necessary.
Keywords: foreign body aspiration, lung tumour, Tuberculosis
In Press
12 Feb 2024 : Case report
Diagnostic Challenges and Imaging Considerations for Intraparotid Facial Nerve Schwannoma: A Case Report an...Am J Case Rep In Press; DOI: 10.12659/AJCR.942870
12 Feb 2024 : Case report
Erdheim-Chester Disease Occult on Radiographs and CT but Visible on MRI and PETAm J Case Rep In Press; DOI: 10.12659/AJCR.941169
12 Feb 2024 : Case report
Surgical Treatment of Spontaneous Superficial Temporal Artery Arteriovenous Malformation: A Case ReportAm J Case Rep In Press; DOI: 10.12659/AJCR.942839
13 Feb 2024 : Case report
Warfarin Woes: A Rare Case of Hemoperitoneum with Intramural Small Bowel HematomaAm J Case Rep In Press; DOI: 10.12659/AJCR.943519
Most Viewed Current Articles
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
05 Mar 2022 : Case report
Acute Limb Ischemia After Self-Injection of Crushed Morphine Tablets into the Radial Artery: Role of Infrar...DOI :10.12659/AJCR.935336
Am J Case Rep 2022; 23:e935336
02 Apr 2022 : Case report
Infective Endocarditis Caused by Pseudomonas luteola in a Pediatric Patient. A Case Report and Review of Li...DOI :10.12659/AJCR.935743
Am J Case Rep 2022; 23:e935743