Foreign Body in the Upper Airway in a Child: Clinical Case
Foreign bodies in the upper airway remain one of the leading causes of morbidity and mortality in early childhood, with the medical history and clinical presentation of the disease are not always specific to aspiration. The article presents a clinical case of atypical picture of laryngeal foreign body in a child aged ten months. Case history and clinical presentation on admission to the hospital did not allow to suspect this diagnosis, and for over a day the child received treatment for acute stenosing laryngotracheitis of viral etiology. Due to the treatment failure, the intubation was attempted, but the degree of narrowing of the larynx forced to made a tracheostomy. Only later, during the investigation of the larynx using a fibreoptic bronchoscope, a solid foreign body was found in a space just above the vocal cords, penetrating between the cords, pushing the right vocal cords laterally. After removing the foreign body was identified as a bone fragment about 0.6 × 0.9 cm. Thus, clinical presentation of a foreign body aspiration can be diverse, non-specific and sometimes far from a classic one. Taking into consideration the ability of this disease to masking, foreign body aspiration should probably be suspected in all cases, when the lack of effect of standard therapy for some upper or lower respiratory tract disease occurs.
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