Radiological distribution of bronchiectasis could be a clue for an infrequent cause of chronic cough
https://doi.org/10.4081/cdr.12.11980
Accepted: 23 January 2024
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Foreign Body Aspiration (FBA) in the elderly is an uncommon but potentially life-threatening condition in the acute setting, but it can also persist in the clinical setting of neglected foreign body with chronic and subtle respiratory symptoms. Chest computed tomography scan can overlook radiolucent foreign bodies but prominently focal lesion and bibasilar bronchiectasis in the appropriate clinical setting should increase the suspicion of FBA. Here we reported a 75-year-old female patient with chronic cough induced by neglected airway foreign body. Bronchoscopic removal of the foreign body was performed successfully, and her cough improved enormously after that.
Rafanan AL, Mehta AC. Adult airway foreign body removal. What's new? Clinics in Chest Medicine. 2001;22:319-30. DOI: https://doi.org/10.1016/S0272-5231(05)70046-0
Boyd M, Chatterjee A, Chiles C, Chin R. Tracheobronchial Foreign Body Aspiration in Adults. Southern Medical Journal. 2009;102:171-4. DOI: https://doi.org/10.1097/SMJ.0b013e318193c9c8
Nguyen-Ho L. Expulsion of inhaled foreign body and risk of endotracheal tube block. Int J Fam Commun Med. 2018;2:19-20. DOI: https://doi.org/10.15406/ijfcm.2018.02.00030
Boyd M, Watkins F, Singh S, et al. Prevalence of flexible bronchoscopic removal of foreign bodies in the advanced elderly. Age and Ageing. 2009;38:396-400. DOI: https://doi.org/10.1093/ageing/afp044
Lin L, Lv L, Wang Y, et al. The clinical features of foreign body aspiration into the lower airway in geriatric patients. Clinical Interventions in Aging. 2014;9:1613-8. DOI: https://doi.org/10.2147/CIA.S70924
Al-Majed SA, Ashour M, Al-Mobeireek AF, et al. Overlooked inhaled foreign bodies: late sequelae and the likelihood of recovery. Respiratory Medicine. 1997;91:293-6. DOI: https://doi.org/10.1016/S0954-6111(97)90033-0
Irwin RS, French CL, Chang AB, Altman KW. Classification of Cough as a Symptom in Adults and Management Algorithms: CHEST Guideline and Expert Panel Report. Chest. 2018;153:196-209. DOI: https://doi.org/10.1016/j.chest.2017.10.016
Bartlett JG, Dowell SF, Mandell LA, et al. Practice guidelines for the management of community-acquired pneumonia in adults. Infectious Diseases Society of America. Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 2000;31:347-82. DOI: https://doi.org/10.1086/313954
Hsu W, Sheen T, Lin C, et al. Clinical experiences of removing foreign bodies in the airway and esophagus with a rigid endoscope: a series of 3217 cases from 1970 to 1996. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2000;122:450-4. DOI: https://doi.org/10.1067/mhn.2000.98321
Baharloo F, Veyckemans F, Francis C, et al. Tracheobronchial foreign bodies: presentation and management in children and adults. Chest. 1999;115:1357-62. DOI: https://doi.org/10.1378/chest.85.3.452c
Hewlett JC, Rickman OB, Lentz RJ, et al. Foreign body aspiration in adult airways: therapeutic approach. Journal of Thoracic Disease. 2017;9:3398-409. DOI: https://doi.org/10.21037/jtd.2017.06.137
Teramoto S, Matsuse T, Ouchi Y. Clinical significance of cough as a defense mechanism or a symptom in elderly patients with aspiration and diffuse aspiration bronchiolitis. Chest. 1999;115:602-3. DOI: https://doi.org/10.1378/chest.115.2.602
Teramoto S, Yamamoto H, Yamaguchi Y, et al. A novel diagnostic test for the risk of aspiration pneumonia in the elderly. Chest. 2004;125:801-2. DOI: https://doi.org/10.1378/chest.125.2.801
Vincent J-L. Nosocomial infections in adult intensive-care units. The Lancet. 2003;361:2068-77. DOI: https://doi.org/10.1016/S0140-6736(03)13644-6
Limper AH, Prakash UBJAoim. Tracheobronchial foreign bodies in adults. Annals of Internal Medicine. 1990;112:604-9. DOI: https://doi.org/10.7326/0003-4819-112-8-604
Chen CH, Lai CL, Tsai TT, et al. Foreign body aspiration into the lower airway in Chinese adults. Chest. 1997;112:129-33. DOI: https://doi.org/10.1378/chest.112.1.129
Mise K, Jurcev Savicevic A, Pavlov N, Jankovic SJSe. Removal of tracheobronchial foreign bodies in adults using flexible bronchoscopy: experience 1995–2006. Surgical Endoscopy. 2009;23:1360-4. DOI: https://doi.org/10.1007/s00464-008-0181-9
Dong YC, Zhou GW, Bai C, et al. Removal of tracheobronchial foreign bodies in adults using a flexible bronchoscope: experience with 200 cases in China. Internal Medicine (Tokyo, Japan). 2012;51:2515-9. DOI: https://doi.org/10.2169/internalmedicine.51.7672
Mittleman RE, Wetli CVJJ. The fatal cafe coronary: foreign-body airway obstruction. JAMA. 1982;247:1285-8. DOI: https://doi.org/10.1001/jama.247.9.1285
Mehta A, Rafanan A. Extraction of Airway Foreign Body in Adults. Journal of Bronchology & Interventional Pulmonology. 2001;8:123-31. DOI: https://doi.org/10.1097/00128594-200104000-00014
Swanson KL, Prakash UB, McDougall JC, et al. Airway foreign bodies in adults. Journal of Bronchology & Interventional Pulmonology. 2003;10:107-11. DOI: https://doi.org/10.1097/00128594-200304000-00004
Debeljak A, Sorli J, Music E, Kecelj P. Bronchoscopic removal of foreign bodies in adults: experience with 62 patients from 1974-1998. The European Respiratory Journal. 1999;14:792-5. DOI: https://doi.org/10.1034/j.1399-3003.1999.14d11.x
Blanco Ramos M, Botana-Rial M, García-Fontán E, et al. Update in the extraction of airway foreign bodies in adults. Journal of Thoracic Disease. 2016;8:3452-6. DOI: https://doi.org/10.21037/jtd.2016.11.32
Medidi S, Fountain A, Radwan M, Rumbak M. "Fishing in the trachea": a unique case of foreign body aspiration. J Bronchology Interv Pulmonol. 2012;19:168-70. DOI: https://doi.org/10.1097/LBR.0b013e3182517cd0
Choroomi S, Curotta J. Foreign body aspiration and language spoken at home: 10-year review. The Journal of Laryngology and Otology. 2011;125:719-23. DOI: https://doi.org/10.1017/S0022215111000727
Lan RJERJ. Non-asphyxiating tracheobronchial foreign bodies in adults. European Respiratory Journal. 1994;7:510-4. DOI: https://doi.org/10.1183/09031936.94.07030510
Elhassani NB. Tracheobronchial foreign bodies in the Middle East: A Baghdad study. The Journal of Thoracic and Cardiovascular Surgery. 1988;96:621-5. DOI: https://doi.org/10.1016/S0022-5223(19)35217-1
Ramos MB, Fernández-Villar A, Rivo JE, Leiro V, García-Fontán E, Botana MI, et al. Extraction of airway foreign bodies in adults: experience from 1987-2008. Interactive Cardiovascular And Thoracic Surgery. 2009;9:402-5. DOI: https://doi.org/10.1510/icvts.2009.207332
Sersar SI, Rizk WH, Bilal M, et al. Inhaled foreign bodies: presentation, management and value of history and plain chest radiography in delayed presentation. Otolaryngology - Head and Neck Surgery : official journal of American Academy of Otolaryngology. Head and Neck Surgery. 2006;134:92-9. DOI: https://doi.org/10.1016/j.otohns.2005.08.019
Pinto A, Scaglione M, Pinto F, et al. Tracheobronchial aspiration of foreign bodies: current indications for emergency plain chest radiography. La Radiologia Medica. 2006;111:497-506. DOI: https://doi.org/10.1007/s11547-006-0045-0
Couper K, Abu Hassan A, Ohri V, et al. Removal of foreign body airway obstruction: A systematic review of interventions. Resuscitation. 2020;156:174-81. DOI: https://doi.org/10.1016/j.resuscitation.2020.09.007
Copyright (c) 2024 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Downloads
Citations
