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Tuberculosis Masquerading Foreign Body in Children.
Hosseinali Ghaffaripour1, Maedeh Asi1, Ali Valinejadi2
1Pediatric Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Foreign body aspiration (FBA) in children is a serious risk, often caused by curiosity. Prompt diagnosis and removal, like this case of a pen cap, prevent severe complications.
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Area of Science:
- Pediatric Pulmonology
- Emergency Medicine
- Pediatric Otolaryngology
Background:
- Foreign body aspiration (FBA) is a frequent pediatric emergency.
- Delayed diagnosis of FBA can lead to significant respiratory complications.
Observation:
- A child presented with persistent cough and dyspnea, initially misdiagnosed as pneumonia.
- Imaging revealed findings concerning for tuberculosis, complicating the initial assessment.
Findings:
- Ultrasound and clinical evaluation confirmed foreign body aspiration.
- A pen cap lodged in the right bronchus was successfully removed via bronchoscopy.
Implications:
- Highlights the importance of considering FBA in pediatric respiratory distress.
- Timely bronchoscopic intervention is crucial for favorable outcomes in FBA cases.
- Emphasizes the need for thorough diagnostic evaluation to avoid misdiagnosis.

