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[Delayed diagnosis of foreign body in the airway in children: case series]

Hugo Rodríguez1, Giselle Cuestas, Hugo Botto

  • 1Servicio de Endoscopia Respiratoria, Hospital de Pediatría Prof. Dr. Juan P. Garrahan.

Archivos Argentinos De Pediatria
|June 5, 2013
PubMed

Insights

Foreign body aspiration in children causes significant illness and death. Early diagnosis via bronchoscopy, even without choking history, is vital for preventing complications and mortality.

Area of Science:

  • Pediatric Pulmonology
  • Emergency Medicine
  • Otolaryngology

Context:

  • Foreign body aspiration is a critical pediatric health issue.
  • Delayed diagnosis leads to severe complications and mortality.
  • Clinical symptoms can mimic other respiratory conditions.

Purpose:

  • To highlight the importance of early diagnosis and treatment of foreign body aspiration in children.
  • To emphasize the role of bronchoscopy in diagnosis, even with inconclusive initial exams.
  • To analyze the time interval between aspiration and removal in pediatric cases.

Summary:

  • Aspiration of foreign bodies is a major cause of childhood morbidity and mortality.
  • Persistent respiratory symptoms in children warrant consideration of foreign body aspiration, regardless of choking history.
  • Bronchoscopy is crucial for diagnosis in suspected cases, even with normal physical and radiological findings.
  • This study reviewed 90 cases, focusing on the time to removal and advocating for prevention and education.

Impact:

  • Improves diagnostic accuracy for pediatric respiratory distress.
  • Reduces mortality and morbidity associated with foreign body aspiration.
  • Enhances awareness among healthcare professionals and the community regarding prevention and recognition.

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