Department of Respiratory Medicine, Kasturba Medical College, IndiaFulltext PDF
It is vital to revise any diagnosis when the patient is not responding to the standard therapy for the condition. One must look into rare possibilities like foreign body aspiration when a conscious adult patient presents with chronic respiratory symptoms resistant to treatment. A 63-years-old woman presented with progressive and persistent cough, dyspnea and wheezing, with no history of foreign body aspiration. She was diagnosed to have bronchial asthma elsewhere and was on treatment for the same for 3 years. CECT chest was suggestive of bronchial stenosis. Flexible bronchoscopy revealed the presence of a foreign body in the medial basal segment of the right lower lobe, which was removed using grasping forceps. Her symptoms improved following the procedure and were advised for follow-up.
Occult foreign body; Bronchial Asthma; Aspiration
Antony T. Occult Foreign Body Aspiration Masquerading as Bronchial Asthma. Clin Respirat Med. 2020; 2(2): 1015.