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Original Article
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Korean J Med. 2009;76(2):244-247.
- 천식과 혼돈되어 진단이 지연된 기관지 내 이물 1예
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선병주 &#; 최지영 &#; 배윤정 &#; 박찬선 &#; 김태범 &#; 조유숙 &#; 문희, , , , , ,
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- Delayed diagnosis of an endobronchial foreign body confused with bronchial asthma
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Byung Joo Sun, Ji Young Choi, Yun Jeong Bae, Chan Sun Park, Tae-Bum Kim, You Sook Cho, Hee-Bom Moon
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- Abstract
- Tracheobronchial foreign bodies can remain undetected for months, or even years, and often present as chronic
respiratory symptoms, such as an intractable cough. We report the case of a 51-year-old woman with a cough for over
3 years and hemoptysis for 2 weeks. She had been treated for asthma for the previous 3 years because of her cough,
wheeze, and positive bronchodilator response. Her symptoms waxed and waned. Her chest X-ray showed a new mass-like
opacity and ill-defined infiltration in the right lower lobe. Computed tomography showed a 2.5-cm mass-like lesion in the
right infrahilar area. At fiberoptic bronchoscopic, a solid foreign body was found in the right lower lobe bronchus and was
identified as a fish bone. Tracheobronchial foreign body aspiration should always be considered in the differential
diagnoses of radiographic lesions or chronic respiratory symptoms that cannot be easily explained. (Korean J Med
76:244-247, 2009)
Keywords :Foreign body, Aspiration, Chronic cough
