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Clove stalk aspiration: An unusual cause of chronic cough

M S Barthwal1, Sachinkumar Dole2, R M Manjush3

  • 1Professor & Head (Respiratory Medicine), Dr DY Patil Medical College, Hospital & Research Centre, Pimpri, Pune, India.

Medical Journal, Armed Forces India
|December 25, 2023
PubMed

Insights

Foreign body aspiration, like a clove stalk, can cause persistent chronic cough in adults, often overlooked when other conditions are present. Prompt diagnosis via bronchoscopy and removal led to rapid symptom resolution in this case.

Area of Science:

  • Pulmonology
  • Gastroenterology

Background:

  • Foreign body aspiration is an uncommon cause of chronic cough in adults.
  • It can be misdiagnosed or overlooked, especially when co-existing respiratory or gastrointestinal conditions are present and not responding to treatment.

Observation:

  • A 72-year-old male with allergic rhinitis presented with a six-month history of cough.
  • Despite trials of antibiotics, corticosteroids, bronchodilators, and antireflux therapy, his symptoms persisted.
  • High-resolution computed tomography (HRCT) scans were unremarkable.

Findings:

  • Fiber optic bronchoscopy identified a foreign body in the right lower lobe.
  • The foreign body was identified as a clove stalk and successfully removed.
  • Symptom resolution was rapid following the removal of the foreign body.

Implications:

  • Clove stalk aspiration is a rare cause of chronic cough in adults.
  • This case highlights the importance of considering foreign body aspiration in refractory chronic cough, even with negative imaging.
  • Fiber optic bronchoscopy remains a crucial diagnostic and therapeutic tool for suspected foreign body aspiration.
Keywords:
AspirationBronchoscopyCloveForeign body

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