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Recurrent stridor in a 9-year-old child after a choking and aspiration event

Thomas G Sternberg1, Jerome W Thompson, Robert A Schoumacher

  • 1Department of Pediatrics, Le Bonheur Children's Hospital, University of Tennessee Health Sciences Center, Memphis, Tennessee 38103, USA.

Allergy and Asthma Proceedings
|April 22, 2010
PubMed

Insights

A 9-year-old boy experienced stridor after choking, initially suspected as gastroesophageal reflux. A methacholine challenge ultimately revealed the correct diagnosis of an upper airway disorder.

Area of Science:

  • Pediatric Pulmonology
  • Pediatric Otolaryngology
  • Pediatric Emergency Medicine

Background:

  • A 9-year-old boy presented with new-onset stridor following a choking event.
  • Initial symptoms suggested gastroesophageal reflux (GER) and were unresponsive to standard treatments.

Observation:

  • Physical examination revealed laryngeal irritation, and barium swallow showed left lung hyperinflation.
  • Bronchoscopy confirmed aspiration of food, but stridor recurred post-procedure.

Findings:

  • Recurrent stridor prompted further investigation, leading to a diagnosis via methacholine challenge.
  • This case highlights a rare presentation of a common pediatric respiratory issue.

Implications:

  • Emphasizes the need for a high index of suspicion in diagnosing pediatric upper airway disorders.
  • Underscores the importance of a multidisciplinary approach for effective patient management.

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