Abstract
One of the rare causes of chronic cough in children is foreign body aspiration. Nine years old girl presented with a history of cough persisting for the last 6 months. Although it was expressed that she had swallowed her tooth, she was prescribed drugs for pneumonia and asthma but did not have any diagnostic work-up. On physical examination there was expiratory wheezing on right hemithorax and also breath sounds were decreased on right. Laboratory was unremarkable except for mild leukocytosis. In the chest X-ray there was an opacity of peribronchiolar area. Patient was diagnosed as foreign body aspiration. Bronchoscopy was performed by department of pediatric surgery. A molar tooth was removed from right bronchus. There was not any problem in the follow-up of the patient. This case report emphasized the importance of history, physical examination and chest X-ray in evaluation of schoolchild with chronic cough once again. J Clin Exp Invest 2015; 6 (2): 199-201
References
- Ciftci AO, Bingöl-Koloğlu M, Senocak ME, et al. Bronchoscopy for evaluation of foreign body aspiration ın children. J Pediatr Surg 2003;38:1170-1176.
- Oncel M, Sunam GS, Ceran S. Tracheobronchial aspiration of foreign bodies and rigid bronchoscopy in children. Pediatr Int 2012;54:532-535.
- Zimmermann T, Steen KH. Tracheobronchial aspiration of foreign bodies in children: a study of 94 cases. Laryngoscope 1990;100:525-530.
- Boufersaoui A, Smati L, Benhalla KN, et al. Foreign body aspiration in children: experience from 2624 patients. Int J Pediatr Otorhinolaryngol 2013;77:1683-1688.
- Yıldırım M, Dogusoy I, Okay T, ve ark. Trakeobronşial yabancı cisimler. Türk Göğüs Kalp Damar Cerrahisi Dergisi 2003;11:228-231.
- Bodart E, de Bilderling G, Tuerlinckx D, Gillet JB. Foreign body aspiration in childhood: management algorithm. Eur J Emerg Med 1999;6:21-25.
- Eren S, Balcı AE, Dikici B, et al. Foreign body aspiration in children: experience of 1160 cases. Ann Trop Paediatr 2003;23:31-37.
- Ozdemir C, Uzun I, Sam B. Childhood foreign body aspiration in Istanbul, Turkey. Forensic Sci Int 2005;153:136-141.
- J.T. Zerella, M. Dimler L.C. McGill K.J. Pippus, Foreign body aspiration in children: value of radiography and complications of bronchoscopy, J Pediatr Surg 1998;33:1651–1654.
- R.E. Black, D.G. Johnson, M.E. Matlak, Bronchoscopic removal of aspirated foreign bodies in children, J Pediatr Surg 1994;29:682–684.
Abstract
Çocuklarda kronik öksürüğün nadir nedenlerinden birisi de bronşta yabancı cisim bulunmasıdır. Dokuz yaşında kız hasta, altı aydır süren öksürük şikayeti ile başvurdu. Anamnezde hastanın dişini yuttuğunu daha önce başvurduğu merkezlerde ifade etmesine rağmen astım ve pnömoni tanısı aldığı ve ilaçlarla şikayetlerinin geçmediği ve herhangi bir tetkik yapılmadığı öğrenildi. Fizik muayenesinde dinlemekle sağda ekspiryum uzunluğu olup sağ hemitoraksta dinlemekle solunum sesi azalmıştı. Kan tetkiklerine hafif lökositoz dışında özellik yoktu. Akciğer grafisinde sağ bronşial alanda opak görünümü mevcuttu. Hasta bu bulgularla solunum yolunda yabancı cisim tanısı aldı. Çocuk cerrahisine konsülte edildi ve bronkoskopi yapıldı. Sağ bronştan bir adet molar diş çıkartıldı. Öksürük şikayeti müdahale sonrasında gerileyen hastanın takiplerinde şikayeti tekrarlamadı. Olgu kronik öksürük şikayeti ile başvuran okul çağı çocuğunda anamnezin, fizik muayenenin ve akciğer grafisinin ne kadar önemli olduğunu vurgulamak amacıyla sunulmuştur.
Anahtar kelimeler: Yabancı cisim, çocuk, diş, kronik öksürük
Keywords
References
- Ciftci AO, Bingöl-Koloğlu M, Senocak ME, et al. Bronchoscopy for evaluation of foreign body aspiration ın children. J Pediatr Surg 2003;38:1170-1176.
- Oncel M, Sunam GS, Ceran S. Tracheobronchial aspiration of foreign bodies and rigid bronchoscopy in children. Pediatr Int 2012;54:532-535.
- Zimmermann T, Steen KH. Tracheobronchial aspiration of foreign bodies in children: a study of 94 cases. Laryngoscope 1990;100:525-530.
- Boufersaoui A, Smati L, Benhalla KN, et al. Foreign body aspiration in children: experience from 2624 patients. Int J Pediatr Otorhinolaryngol 2013;77:1683-1688.
- Yıldırım M, Dogusoy I, Okay T, ve ark. Trakeobronşial yabancı cisimler. Türk Göğüs Kalp Damar Cerrahisi Dergisi 2003;11:228-231.
- Bodart E, de Bilderling G, Tuerlinckx D, Gillet JB. Foreign body aspiration in childhood: management algorithm. Eur J Emerg Med 1999;6:21-25.
- Eren S, Balcı AE, Dikici B, et al. Foreign body aspiration in children: experience of 1160 cases. Ann Trop Paediatr 2003;23:31-37.
- Ozdemir C, Uzun I, Sam B. Childhood foreign body aspiration in Istanbul, Turkey. Forensic Sci Int 2005;153:136-141.
- J.T. Zerella, M. Dimler L.C. McGill K.J. Pippus, Foreign body aspiration in children: value of radiography and complications of bronchoscopy, J Pediatr Surg 1998;33:1651–1654.
- R.E. Black, D.G. Johnson, M.E. Matlak, Bronchoscopic removal of aspirated foreign bodies in children, J Pediatr Surg 1994;29:682–684.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | July 13, 2015 |
| Published in Issue | Year 2015 Volume: 6 Issue: 2 |