RESUMO
Foreign body aspiration occurs when a solid or semisolid object becomes lodged in the larynx or trachea. It can be a life-threatening emergency, especially if it is large enough to occlude the airway. However, small aspirated objects may go unnoticed until symptoms occur. Therefore, it is frequently misdiagnosed. A high level of clinical suspicion, patient's risk factors, and thorough history and physical examination are essential in making the diagnosis. It should be considered in cases where there is unresolved chronic cough with or without associated recurrent pneumonia especially in patients with risks for aspiration.
Assuntos
Cromossomos Humanos Par 13/genética , Cromossomos Humanos Par 8/genética , Leucemia de Células T/genética , Linfoma de Células T Periférico/genética , Transtornos Mieloproliferativos/genética , Proteínas de Neoplasias/genética , Receptor Tipo 1 de Fator de Crescimento de Fibroblastos/genética , Translocação Genética , Adulto , Protocolos de Quimioterapia Combinada Antineoplásica/administração & dosagem , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Cromossomos Humanos Par 13/ultraestrutura , Cromossomos Humanos Par 8/ultraestrutura , Terapia Combinada , Ciclofosfamida/administração & dosagem , Dexametasona/administração & dosagem , Doxorrubicina/administração & dosagem , Humanos , Hibridização in Situ Fluorescente , Leucemia de Células T/tratamento farmacológico , Leucemia de Células T/patologia , Leucemia de Células T/cirurgia , Linfoma de Células T Periférico/tratamento farmacológico , Linfoma de Células T Periférico/patologia , Linfoma de Células T Periférico/cirurgia , Masculino , Transtornos Mieloproliferativos/tratamento farmacológico , Transtornos Mieloproliferativos/patologia , Transtornos Mieloproliferativos/cirurgia , Transplante de Células-Tronco de Sangue Periférico , Indução de Remissão , Transplante Homólogo , Vincristina/administração & dosagemRESUMO
Aspiration of a foreign body into the tracheobronchial tree is rare in adults. In the majority of these cases there is an underlying condition such as mental retardation, depressed mental status, impairment in the swallowing reflex, neurological impairment, alcohol or sedative abuse, or complications from dental manipulations that contributed to the aspiration. These patients are commonly misdiagnosed with asthma and typically do not respond to mainstay anti-inflammatory and/or bronchodilator therapy. We describe the case of a patient with a foreign body aspiration in the upper trachea not recognized by radiographic studies that presented with asthma-type symptoms.
