关键词: dental care endobronchial foreign body flexible bronchoscopy recurrent aspiration pneumonia tracheobronchial foreign body aspiration

来  源:   DOI:10.7759/cureus.55890   PDF(Pubmed)

Abstract:
Tooth aspiration, while commonly linked to predisposing conditions such as loose teeth, facial surgeries, or injuries, can also affect patients without apparent risk factors. Such small foreign body aspirations may go undiagnosed for many months as patients often tolerate the symptoms, such as chronic cough. However, the protracted course of unaddressed foreign body aspiration has the potential to resemble symptoms of malignancy, including persistent hemoptysis, weight loss, and fatigue. In this report, we detail the case of a 51-year-old man with underlying chronic obstructive pulmonary disease (COPD) whose history and symptoms initially suggested lung carcinoma. Further investigation uncovered an aspirated tooth as the culprit. The sequelae of pulmonary complications arising from endobronchial obstruction, such as post-obstructive pneumonia and atelectasis, as demonstrated in our case, further emphasize the importance of prompt detection and management of tooth aspiration.
摘要:
牙齿抽吸,虽然通常与牙齿松动等易感因素有关,面部手术,或受伤,也可以影响没有明显危险因素的患者。这种小的异物可能会在许多个月内无法诊断,因为患者经常容忍这种症状,比如慢性咳嗽。然而,未解决的异物吸入的长期过程有可能类似于恶性肿瘤的症状,包括持续性咯血,减肥,和疲劳。在这份报告中,我们详细介绍了一例51岁的慢性阻塞性肺疾病(COPD)患者,其病史和症状最初提示为肺癌.进一步的调查发现,一颗吸气的牙齿是罪魁祸首。支气管内阻塞引起的肺部并发症的后遗症,如阻塞性肺炎和肺不张,正如我们的案例所证明的,进一步强调及时检测和管理牙吸的重要性。
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