Difficult Decision: Lobar Pneumonia or Foreign Body Aspiration?

Yıl 2017, Cilt: 4 Sayı: 1, 31 - 33, 01.04.2017

Erol Çetinkaya Nazile Ertürk

Öz

Foreign body aspiration is a frequently seen important health problem that can be mortal. It is more common in children under three years of age. It is among significant mortality and morbidity reasons for this age group, by causing many of respiratory systems complications. Foreign body aspiration is located in the discriminative table in patients with resistant pneumonia, bronchitis or bronchial asthma. In children patients, there are difficulties in diagnosing due to the shortness of story. This study presents a 7-year-old patient, whose respiratory complaints continue, despite treatment. It was difficult to distinguish whether the cause was due to foreign body aspiration or changes secondary to infection. We want to discuss what we have to discover in these situations and what clues we need to catch in such difficult situations. The presence of drowning crisis is a guide in the differential diagnosis. If not, there is no need for urgency for bronchoscopy. May be considered as misdiagnosis or inadequate treatment

Anahtar Kelimeler

Children, Aspiration, Pneumonia

Zor Karar: Lobar Pnömoni mi Yoksa Yabancı Cisim Aspirasyonu mu?

Öz

Abstract Foreign body aspiration is a frequently seen important health problem that can be mortal. It is more common in children under three years of age. It is among significant mortality and morbidity reasons for this age group, by causing many of respiratory systems complications. Foreign body aspiration is located in the discriminative table in patients with resistant pneumonia, bronchitis or bronchial asthma. In children patients, there are difficulties in diagnosing due to the shortness of story. This study presents a 7-year-old patient, whose respiratory complaints continue, despite treatment. It was difficult to distinguish whether the cause was due to foreign body aspiration or changes secondary to infection. We want to discuss what we have to discover in these situations and what clues we need to catch in such difficult situations. The presence of drowning crisis is a guide in the differential diagnosis. If not, there is no need for urgency for bronchoscopy. May be considered as misdiagnosis or inadequate treatment. Keywords: Children, Aspiration, Pneumonia Özet Yabancı cisim aspirasyonu sık gözlenen ve mortal sonuçlanabilen önemli bir sağlık problemidir. Üç yaş altı çocuklarda daha sık görülmektedir. Birçok solunum sistemi komplikasyonuna neden olabildiğinden, bu yaş grubu için önemli mortalite ve morbidite nedenleri arasındadır. Dirençli pnömoni, bronşit veya bronşiyal astım hastalarında yabancı cisim aspirasyonu ayrıcı tanıda yer almaktadır. Çocuk hastalarda öykü yetersizliğinden tanıda güçlükler yaşanmaktadır. Bu çalışmada tedaviye rağmen solunum sıkıntısı devam eden, yabancı cisim aspirasyonu mu, enfeksiyona sekonder değişiklikler mi ayırımını yapmakta zorlandığımız 7 yaşında hasta sunulmuştur. Böyle durumlarda tanıyı kolaylaştıracak bulguların neler olduğunu ve zor vakalarda yakalamamız gereken ipuçlarını olgumuz üzerinden tartışmak istedik.

Anahtar Kelimeler

Çocuk, Aspirasyon, Pnömoni