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The Missing Tooth: A Curious Case of Postobstructive Pneumonia
Ian Holmes1, Kiran Gajurel2, Jose Montoya2
1Departments of Medicine.
Open Forum Infectious Diseases
|July 16, 2016
Summary
Unrecognized foreign body aspiration, like a tooth, can cause delayed pneumonia. A 70-year-old man
Area of Science:
- Pulmonology
- Thoracic Surgery
- Diagnostic Imaging
Background:
- Foreign body aspiration can lead to insidious symptoms.
- Delayed diagnosis of aspirated foreign bodies presents a significant challenge.
- Postobstructive pneumonia is a potential complication of unrecognized aspirations.
Purpose of the Study:
- To report a case of postobstructive pneumonia caused by an aspirated tooth.
- To review the clinical features and microbiology of postobstructive pneumonia.
- To discuss the treatment rationale for postobstructive pneumonia.
Main Methods:
- Case report of a 70-year-old man.
- Computed tomography (CT) scan of the thorax.
- Review of clinical features, microbiology, and treatment of postobstructive pneumonia.
Main Results:
- A 70-year-old man developed postobstructive pneumonia 2 months after aspirating a tooth.
- Initial misdiagnosis as asthma was corrected by CT scan, revealing the tooth in the left bronchus.
- The study reviews relevant literature on postobstructive pneumonia.
Conclusions:
- Foreign body aspiration requires high clinical suspicion, especially with atypical respiratory symptoms.
- Computed tomography is crucial for diagnosing retained foreign bodies in the airway.
- Prompt recognition and management are essential for treating postobstructive pneumonia.
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