Fir branch as rare cause of aspiration pneumonia in adults
https://doi.org/10.20538/1682-0363-2018-3-229-234
Abstract
The article represents a clinical observation describing the case of mechanical obstruction in the respiratory passages with an unusual foreign body, a fir branch. The diagnostic problem lied in the fact that a patient did not notice the fact of aspiration, the respiratory symptoms were non-specific, and the foreign body was radiotransparent. A detailed case history allowed the detection and endoscopic confirmation of the aspiration of a foreign body, a fir branch, and the consideration of the community acquired pneumonia and secondary aspiration pneumonia that required specialized medical care by the thoracic surgery department.
About the Authors
S. N. Kosarev
Siberian State Medical University (SSMU)
Russian Federation
Russian Federation
Kosarev Stepan N. – Student.
2, Moscow Trakt, 634050, Tomsk
A. H. Pazilov
Siberian State Medical University (SSMU)
Russian Federation
Russian Federation
Pazilov Aibec H. - Student.
2, Moscow Trakt, 634050, Tomsk
D. A. Ochkas
Siberian State Medical University (SSMU)
Russian Federation
Russian Federation
Ochkas Dariya A. - Student.
2, Moscow Trakt, 634050, TomskN. Yu. Kolesnik
Siberian State Medical University (SSMU)
Russian Federation
Russian Federation
Kolesnik Nataliya Yu. - Assistant, Division of Internal Diseases and Internal Medicine.
2, Moscow Trakt, 634050, Tomsk
T. V. Sorokina
Siberian State Medical University (SSMU)
Russian Federation
Russian Federation
Sorokina Tatiyna V. - Assistant, Division of Internal Diseases and Internal Medicine.
2, Moscow Trakt, 634050, Tomsk
E. B. Topolnitsky
Tomsk Regional Clinical Hospital
Russian Federation
Russian Federation
Topolnitsky Evgeny B. - DM, Head of Surgery Thoracic Department.
96, I. Chernuh Str., 634063, Tomsk
T. S. Ageeva
Siberian State Medical University (SSMU)
Russian Federation
Russian Federation
Ageeva Tatiyna S. - DM, Professor, Head of Division of Internal Diseases and Internal Medicine.
2, Moscow Trakt, 634050, TomskReferences
1. Avdeev S.N. Gastric Juice Aspiration Syndrome. Russkij medicinskij zhurnal. 2001; 21: 934–945 (in Russ.).
2. Blagitko E.M., Vardosanidze K.V., Kiselev A.A. Foreign bodies. Novosibirsk: Nauka Sibirskaja izdatel’skaja firma RAN Publ., 1996: 200 (in Russ.).
3. Chernehovskaja N.E., Mal’ceva I.M., Korzheva I.Ju. Clinico-endoscopic diagnosis of foreign bodies of the bronchi. Pul’monologija – Pulmonology. 2009; 2: 120– 123 (in Russ.).
4. Afghani R., Khandashpour Ghomi M., Khandoozi S.R. et al. Neglected foreign body aspiration mimicking bronchial carcinoma. Asian Cardiovascular & Thoracic Annals. 2016; 24: 601– 603. DOI: 10.1177/0218492316653864.
5. Tewari S.C., Bhattacharya D., Singh V.K., Prasad B. Forgotten foreign bodies in bronchial tree in adult (a report of two cases and review of literature). Med J. Armed Forces India. 2002; 58: 73– 75. DOI: 10.1016/S03771237(02)80019-3.
6. Shteyner M.L. Foreign body of the right upper lobe bronchus. Prakticheskaja medicina. 2013; 5: 159– 161 (in Russ.).
7. Hideki Ota, Hideki Kawai. An unusual case of pleural empyema in a tsunami survivor. Asian Cardiovascular & Thoracic Annals. 2012; 20 (3): 344–346. DOI: 10.1177/0218492311436122.
8. Henselmans J.M., Schramel F.M., Sutedja G., Postmus P. E. Acute necrotizing pneumonia 16 years after aspiration of a conifer branch. J. Respiratory Medicine. 1995; 89 (3): 139–141.
Review
For citations:
Kosarev S.N., Pazilov A.H., Ochkas D.A., Kolesnik N.Yu., Sorokina T.V., Topolnitsky E.B., Ageeva T.S. Fir branch as rare cause of aspiration pneumonia in adults. Bulletin of Siberian Medicine. 2018;17(3):229-234. (In Russ.) https://doi.org/10.20538/1682-0363-2018-3-229-234
Views:
1339
Email this article 