Delayed diagnosis of foreign body ingestion in a child: case report
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Abstract
Background: ingesting foreign bodies is frequent in the pediatric population; it can present with various symptoms, and sometimes its diagnosis can be late. Case report: a two-year-old male patient with no relevant history with a four-month inspiratory stridor and wet cough history. He revealed signs of respiratory distress and continuous inspiratory stridor on physical examination. Initially, he was diagnosed with acute laryngotracheitis and treated with hypertonic nebulization and intravenous steroids with no apparent improvement in symptoms. An AP and lateral chest X-ray showed a foreign body with metallic characteristics located in the upper region of the esophagus. Upper digestive endoscopy was performed, obtaining a coin. Discussion: the ingestion of foreign bodies in young children in common. Most make it through the gastrointestinal tract harmlessly; however, some foreign bodies can cause significant morbidity. The diagnosis can be delayed, especially if another person did not identify the ingestion or if this condition is not considered in the differential diagnoses. Conclusion: This case report highlights the importance of recognizing rare and often forgotten respiratory symptoms caused by foreign body ingestion to avoid delays in diagnosis and treatment.
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