A Case of Severe Pulmonary Complication and ARDS Secondary to Peanut Aspiration in 15 Month Old Male.
- Author:
Sung Keun MOON
1
;
Chang Keun KIM
;
Churl Young CHUNG
Author Information
1. Department of Pediatrics, College of Medicine, Inje University, Paik Hospital, Sanggye, Korea.
- Publication Type:Case Report
- Keywords:
Peanut;
Foreign body aspiration;
Pulmonary complication;
Adult Respiratory Distress Syndrome
- MeSH:
Autopsy;
Bronchoscopes;
Child;
Emphysema;
Foreign Bodies;
Humans;
Hyalin;
Infant*;
Male*;
Membranes;
Pneumothorax;
Respiratory Distress Syndrome, Adult;
Subcutaneous Emphysema;
Thorax
- From:Journal of the Korean Pediatric Society
1997;40(3):423-428
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Foreign body aspiration (especially peanut) is the leading cause of accidental death in children under 1 year of age and most cases of serious aspiration occur between the age of 1 and 3. We report a case of severe pulmonary complication and adult respiratory distress syndrome (ARDS) secondary to peanut aspiration in 15 month old male in spite of all removal (9 pieces) by ventilating bronchoscope. Chest X-ray showed pulmonary interstitial emphysema, marked subcutaneous emphysema, pneumothorax and autopsy findings showed interstitial inflammatory cell infiltration with destruction of acinar septal architecture and formation of hyaline membranes. Chest X-ray and pathologic findings are compatible with the late ARDS. A brief review of related literature was made.
