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Aspirated Denture: A Rare Cause of Empyema in an Asian Male

Here, we report the case of an undiagnosed foreign body aspiration (FBA) in a 50-year-old male who presented with fever, productive cough, and shortness of breath suggestive of pneumonia. The patient reported a history of empyema for which he underwent left-sided video-assisted thoracoscopic surgery...

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Detalles Bibliográficos
Autores principales: Zubairi, Mustafa Bin Ali, Ayub, Maaha, Zubairi, Ali, Fatima, Kulsoom
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432417/
https://www.ncbi.nlm.nih.gov/pubmed/34527483
http://dx.doi.org/10.7759/cureus.17097
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author Zubairi, Mustafa Bin Ali
Ayub, Maaha
Zubairi, Ali
Fatima, Kulsoom
author_facet Zubairi, Mustafa Bin Ali
Ayub, Maaha
Zubairi, Ali
Fatima, Kulsoom
author_sort Zubairi, Mustafa Bin Ali
collection PubMed
description Here, we report the case of an undiagnosed foreign body aspiration (FBA) in a 50-year-old male who presented with fever, productive cough, and shortness of breath suggestive of pneumonia. The patient reported a history of empyema for which he underwent left-sided video-assisted thoracoscopic surgery and decortication at another facility. Careful evaluation of prior chest imaging revealed a radio-opaque linear density projecting along the left of his spine suspicious for a foreign body in the airway which was missed on radiographic evaluation at the time of empyema. On flexible fiberoptic bronchoscopy, an irretrievable foreign body was visualized in the patient’s left mainstem bronchus, which was removed via rigid bronchoscopy. This is a rare case of an aspirated denture manifesting as empyema and subsequently as pneumonia. We suggest that in patients with a recurrent chest infection, the possibility of FBA must be ruled out by detailed history and careful evaluation of imaging.
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spelling pubmed-84324172021-09-14 Aspirated Denture: A Rare Cause of Empyema in an Asian Male Zubairi, Mustafa Bin Ali Ayub, Maaha Zubairi, Ali Fatima, Kulsoom Cureus Internal Medicine Here, we report the case of an undiagnosed foreign body aspiration (FBA) in a 50-year-old male who presented with fever, productive cough, and shortness of breath suggestive of pneumonia. The patient reported a history of empyema for which he underwent left-sided video-assisted thoracoscopic surgery and decortication at another facility. Careful evaluation of prior chest imaging revealed a radio-opaque linear density projecting along the left of his spine suspicious for a foreign body in the airway which was missed on radiographic evaluation at the time of empyema. On flexible fiberoptic bronchoscopy, an irretrievable foreign body was visualized in the patient’s left mainstem bronchus, which was removed via rigid bronchoscopy. This is a rare case of an aspirated denture manifesting as empyema and subsequently as pneumonia. We suggest that in patients with a recurrent chest infection, the possibility of FBA must be ruled out by detailed history and careful evaluation of imaging. Cureus 2021-08-11 /pmc/articles/PMC8432417/ /pubmed/34527483 http://dx.doi.org/10.7759/cureus.17097 Text en Copyright © 2021, Zubairi et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Zubairi, Mustafa Bin Ali
Ayub, Maaha
Zubairi, Ali
Fatima, Kulsoom
Aspirated Denture: A Rare Cause of Empyema in an Asian Male
title Aspirated Denture: A Rare Cause of Empyema in an Asian Male
title_full Aspirated Denture: A Rare Cause of Empyema in an Asian Male
title_fullStr Aspirated Denture: A Rare Cause of Empyema in an Asian Male
title_full_unstemmed Aspirated Denture: A Rare Cause of Empyema in an Asian Male
title_short Aspirated Denture: A Rare Cause of Empyema in an Asian Male
title_sort aspirated denture: a rare cause of empyema in an asian male
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8432417/
https://www.ncbi.nlm.nih.gov/pubmed/34527483
http://dx.doi.org/10.7759/cureus.17097
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