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Subglottic chicken bone in a five month old baby
S Prakash1, C L Bhusal, K Acharya
1Ganesh Man Singh Memorial Academy of ENT and HN studies, Institute of Medicine, Maharaiguni, Kathmandu, Nepal. drsanjay.prakash@gmail.com
Insights
Foreign body aspiration in children often causes wheezing and coughing. This case highlights a five-month-old infant with a chicken bone foreign body, emphasizing the importance of recognizing respiratory symptoms.
Area of Science:
- Pediatrics
- Pulmonology
- Emergency Medicine
Background:
- Foreign body aspiration is a common pediatric emergency.
- Respiratory symptoms like cough and wheeze are typical after choking incidents.
Observation:
- A five-month-old infant presented with suspected foreign body inhalation.
- The case involved a chicken bone as the aspirated foreign body.
Findings:
- Witnessed choking or gagging followed by coughing is a hallmark of airway foreign bodies.
- Absence of a cough can be misleading but does not entirely rule out aspiration.
Implications:
- Early recognition and diagnosis of foreign body aspiration are crucial for timely intervention.
- This case underscores the need for vigilance in pediatric respiratory distress, even with atypical presentations.
Abstract:
Foreign body aspiration most commonly affects young children, with respiratory symptoms such as wheeze and cough after a choking episode. When the foreign body is first inhaled as per witnessed by the parents or caregiver there is always choking or gaging episode, followed by a coughing spell. The absence of a cough strongly rules out the possibility of foreign body having entered the air passage. Here we report a case of chicken bone inhaled as foreign body in a five months old baby.
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