Severe Endobronchial Inflammation Induced by Aspiration of a Ferrous Sulfate Tablet.
- Author:
Sang Youn LIM
1
;
Sung Birm SOHN
;
Jung Min LEE
;
Ji Ae LEE
;
Sangmi CHUNG
;
Junga KIM
;
Juwhan CHOI
;
Sehwa KIM
;
Ah Young YOO
;
Jong Ah ROH
;
Haein PARK
;
Won Shik KIM
;
Jae Kyeom SIM
;
Jae Jeong SHIM
;
Kyung Hoon MIN
Author Information
- Publication Type:Case Report
- Keywords: Foreign Bodies; Respiratory Aspiration; Bronchi; Bronchoscopy
- MeSH: Aged; Alzheimer Disease; Anemia, Iron-Deficiency; Biopsy; Bronchi; Bronchoscopy; Constriction, Pathologic; Diagnosis; Foreign Bodies; Hemoptysis; Humans; Inflammation*; Iron; Korea; Necrosis; Nervous System Diseases; Parkinsonian Disorders; Reflex; Respiratory Aspiration; Stroke; Tablets
- From:Tuberculosis and Respiratory Diseases 2016;79(1):37-41
- CountryRepublic of Korea
- Language:English
- Abstract: Iron supplements such as ferrous sulfate tablets are usually used to treat iron-deficiency anemia in some elderly patients with primary neurologic disorders or decreased gag reflexes due to stroke, senile dementia, or parkinsonism. While the aspiration of ferrous sulfate is rarely reported, it is a potentially life-threatening condition that can lead to airway necrosis and bronchial stenosis. A detailed history and high suspicion of aspiration are required to avoid delays in diagnosis and treatment. The diagnosis can be confirmed by bronchoscopic examination and a tissue biopsy. Early removal of the aspirated tablet prevents acute complications, such as bronchial necrosis, hemoptysis, and lobar consolidation. Tablet removal is also necessary to prevent late bronchial stenosis. We presented the first case in Korea of a ferrous sulfate tablet aspiration that induced severe endobronchial inflammation.
