A misdiagnosed laryngeal foreign body causing recurrent wheezing in a pediatric patient: Case report

Author:

Fraccaroli Francesca12,Tosini Davide12,Lerario Giorgia12,Battilocchi Ludovica12ORCID,D'Onghia Alessandra1,Cantarella Giovanna12ORCID,Pignataro Lorenzo12,Neri Simona3,Gaffuri Michele12ORCID

Affiliation:

1. Department of Otolaryngology and Head and Neck Surgery Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico Milan Italy

2. Department of Clinical Sciences and Community Health Università degli Studi di Milano Milan Italy

3. Unit of Paediatric Anaesthesiology and Intensive Care Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico Milan Italy

Abstract

Key clinical messageThe recurrence of respiratory symptoms without a clear clinical reason in children can be secondary to the presence of an unknown foreign body of the airways. In such cases, endoscopy of the airways is always necessary, regardless of the patient's age.AbstractThe management of foreign bodies of the pediatric airway can be challenging. The clinical presentation may vary and, in case of recurrent respiratory symptoms without a clear clinical cause, the presence of a foreign body of the airway should be suspected. We describe the case of a 13‐month‐old patient, weight 11 kg, with a misdiagnosed subglottic foreign body causing dysphonia and worsening respiratory distress, removed by means of a direct laryngotracheoscopy in tubeless general anesthesia in spontaneous breathing.

Publisher

Wiley

Subject

General Medicine

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