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KMID : 0882420090760020244
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Korean Journal of Medicine
2009 Volume.76 No. 2 p.244 ~ p.247
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Delayed diagnosis of an endobronchial foreign body confused with bronchial asthma
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Sun Byung-Joo
Choi Ji-Young
Bae Yun-Jeong
Park Chan-Seon
Kim Tae-Beom
Cho Yoo-Sook
Moon Hee-Bom
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Abstract
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Tracheobronchial foreign bodies can remain undetected for months, or even years, and often present as chronic respiratory symptoms, such as an intractable cough. We report the case of a 51-year-old woman with a cough for over 3 years and hemoptysis for 2 weeks. She had been treated for asthma for the previous 3 years because of her cough, wheeze, and positive bronchodilator response. Her symptoms waxed and waned. Her chest X-ray showed a new mass-like opacity and ill-defined infiltration in the right lower lobe. Computed tomography showed a 2.5-cm mass-like lesion in the right infrahilar area. At fiberoptic bronchoscopic, a solid foreign body was found in the right lower lobe bronchus and was identified as a fish bone. Tracheobronchial foreign body aspiration should always be considered in the differential diagnoses of radiographic lesions or chronic respiratory symptoms that cannot be easily explained.(Korean J Med 76:244-247, 2009)
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KEYWORD
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Foreign body, Aspiration, Chronic cough
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