小児における予期せぬ異物誤嚥を隠蔽する慢性肺腔:症例報告
Jie Chen1, Jiying Xiao1, Junsong Chen1
1Department of Respiratory Medicine, Hangzhou Maternity and Child Health Hospital Children's Campus, Hangzhou, Zhejiang, China.
Background:
Delayed foreign body aspiration (FBA) mimicking a lung abscess is rare in children.
Case Presentation:
A 3-year-old girl presented with fever, cough, and a cavitary lung lesion initially diagnosed as lung abscess. Poor response to antibiotics prompted bronchoscopy, which revealed a pumpkin seed shell fragment causing obstruction and granulation. History revealed a choking episode eight months prior.
Results:
The foreign body was removed bronchoscopically, and the patient recovered fully.
Conclusions:
Occult FBA should be considered in children with focal cavitary lung lesions, especially when unresponsive to antibiotics for lung abscess.
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