Related Experiment Video
Updated: Nov 24, 2025

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
Published on: November 4, 2010
A child with a foreign body in bronchus misdiagnosed as asthma
Nagendra Chaudhary1, Sandeep Shrestha1, Om P Kurmi2
1Department of Pediatrics Universal College of Medical Sciences Bhairahawa Nepal.
Insights
Foreign body aspiration can mimic difficult asthma in children. Early diagnosis and removal via flexible bronchoscopy are crucial for successful outcomes.
Area of Science:
- Pediatric Pulmonology
- Medical Diagnostics
Background:
- Difficult asthma in children presents diagnostic challenges.
- Foreign body aspiration is an underrecognized cause of persistent respiratory symptoms.
Observation:
- An 11-year-old male presented with symptoms initially attributed to difficult asthma.
- The patient's persistent respiratory issues were investigated further.
Findings:
- A foreign body was identified in the right bronchus.
- Successful removal of the foreign body was achieved using flexible bronchoscopy.
Implications:
- Highlights the importance of considering foreign body aspiration in pediatric difficult asthma.
- Demonstrates the efficacy of flexible bronchoscopy in diagnosing and treating such cases.
- Emphasizes the need for a broad differential diagnosis in pediatric respiratory conditions.
Abstract:
Foreign body ingestion should be considered as an important differential in a child with difficult asthma. We report an 11-year-old male child with foreign body aspiration who initially was diagnosed and treated as difficult asthma. Later on, he was diagnosed to have a foreign body in the right bronchus, which was successfully removed by flexible bronchoscopy.
Related Concept Videos
Asthma: Pathogenesis and Management
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma-I: Introduction
Asthma-IV: Diagnostic and Management
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Asthma-III: Symptoms and Complications
Classification of Asthma
Asthma-II: Pathophysiology and Classification
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
The Bronchial Tree
The trachea, commonly known as the windpipe, is a tube that connects the larynx (voice box) to the bronchi. At a point called the carina, it bifurcates into two primary bronchi. The right primary bronchus is wider, shorter, and more vertical than the left primary...

