Persistent Cough and Failure to Thrive: A Presentation of Foreign Body Aspiration in a Child With Asthma

Author:

Kugelman Amir1,Shaoul Ron1,Goldsher Moshe2,Srugo Isaak1

Affiliation:

1. Department of Pediatrics, Bnai Zion Medical Center, The B. Rappaport Faculty of Medicine, Haifa, Israel

2. Department of Otolaryngology, Bnai Zion Medical Center, The B. Rappaport Faculty of Medicine, Haifa, Israel

Abstract

Severe failure to thrive (FTT) in a child with asthma and a persistent cough should not be explained solely by asthma and warrants a thorough and prompt evaluation. The finding of a foreign body in our case was surprising, because it does not usually present as or lead to FTT. Good clinical judgment and habits could prevent the course of events that we described in this case. Following are the key lessons to be learned from this presentation: (1) maintain a high index of suspicion for foreign body aspiration, even in toddlers with asthma, (2) pay special attention to a child with FTT, (3) be aware of localizing findings on physical examination and chest radiographs, and (4) perform a chest radiograph no later than after 1 month of chronic cough.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference17 articles.

1. Global Strategy for Asthma Management and Prevention. NHLBI/WHO Workshop Report. Bethesda, MD: National Institutes of Health; 2002. NIH publication 95-3659

2. Martinez FD, Wright AL, Taussig LM, Holberg CJ, Halonen M, Morgan WJ. Asthma and wheezing in the first six years of life. The Group Health Medical Associates. N Engl J Med. 1995;332:133–138

3. Hofhuis W, van der Wiel EC, Tiddens HA, et al. Bronchodilation in infants with malacia or recurrent wheeze. Arch Dis Child. 2003;88:246–249

4. Bauchner H. Failure to thrive. In: Behrman RE, Kliegman RM, Arvin AM, eds. Nelson Textbook of Pediatrics. 15th ed. Philadelphia, PA: WB Saunders; 1996:122–123

5. Zenel JAJ. Failure to thrive: a general pediatrician's perspective. Pediatr Rev. 1997;18:371–378

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