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Hordeum murinum aspiration revealed by a pneumopleurocutaneous fistula in a 15-month-old infant
BACKGROUND: Hordeum murinum is a specie of grass rarely reported among the aspirated foreign body. It has high tissue penetration power and may cause lung damages. CASE PRESENTATION: We report the case of a 15-month-old girl who choke while playing in the grass without any evident cause. This episod...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8645295/ https://www.ncbi.nlm.nih.gov/pubmed/34865632 http://dx.doi.org/10.1186/s12887-021-03016-0 |
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author | Richard, Nicolas Paygambar, Audrey Ducou Le Pointe, Hubert Biaz, Sarah Corvol, Harriet |
author_facet | Richard, Nicolas Paygambar, Audrey Ducou Le Pointe, Hubert Biaz, Sarah Corvol, Harriet |
author_sort | Richard, Nicolas |
collection | PubMed |
description | BACKGROUND: Hordeum murinum is a specie of grass rarely reported among the aspirated foreign body. It has high tissue penetration power and may cause lung damages. CASE PRESENTATION: We report the case of a 15-month-old girl who choke while playing in the grass without any evident cause. This episode was immediately followed by vomiting and coughing with traces of blood. While she was fine during the following week, she relapsed at day (D) 7 with fever. At D10, she was finally hospitalized for signs of respiratory distress. The chest CT-scan revealed a voluminous right sub pleural empyema with an aerial component, responsible for the collapse of the right lower lobe, and complicated by a pneumopleurocutaneous fistula to the right paravertebral muscles. Intravenous antibiotics were prescribed, but no invasive procedure was performed. At D18, the spikelet of a false barley spontaneously externalized through the fistula. Evolution was favorable thereafter with disappearance of the fever and progressive decrease of the biological inflammatory syndrome. The follow-up at 4 months was reassuring, with normal clinical evaluation, and complete regression of the empyema on the chest X-rays. CONCLUSIONS: Hordeum murinum is a rare type of foreign body, and the aspiration often goes unnoticed. In these peculiar cases, CT-scans can be as informative as bronchoscopies, and the evolution is usually favorable after fistulization. |
format | Online Article Text |
id | pubmed-8645295 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-86452952021-12-06 Hordeum murinum aspiration revealed by a pneumopleurocutaneous fistula in a 15-month-old infant Richard, Nicolas Paygambar, Audrey Ducou Le Pointe, Hubert Biaz, Sarah Corvol, Harriet BMC Pediatr Case Report BACKGROUND: Hordeum murinum is a specie of grass rarely reported among the aspirated foreign body. It has high tissue penetration power and may cause lung damages. CASE PRESENTATION: We report the case of a 15-month-old girl who choke while playing in the grass without any evident cause. This episode was immediately followed by vomiting and coughing with traces of blood. While she was fine during the following week, she relapsed at day (D) 7 with fever. At D10, she was finally hospitalized for signs of respiratory distress. The chest CT-scan revealed a voluminous right sub pleural empyema with an aerial component, responsible for the collapse of the right lower lobe, and complicated by a pneumopleurocutaneous fistula to the right paravertebral muscles. Intravenous antibiotics were prescribed, but no invasive procedure was performed. At D18, the spikelet of a false barley spontaneously externalized through the fistula. Evolution was favorable thereafter with disappearance of the fever and progressive decrease of the biological inflammatory syndrome. The follow-up at 4 months was reassuring, with normal clinical evaluation, and complete regression of the empyema on the chest X-rays. CONCLUSIONS: Hordeum murinum is a rare type of foreign body, and the aspiration often goes unnoticed. In these peculiar cases, CT-scans can be as informative as bronchoscopies, and the evolution is usually favorable after fistulization. BioMed Central 2021-12-05 /pmc/articles/PMC8645295/ /pubmed/34865632 http://dx.doi.org/10.1186/s12887-021-03016-0 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Richard, Nicolas Paygambar, Audrey Ducou Le Pointe, Hubert Biaz, Sarah Corvol, Harriet Hordeum murinum aspiration revealed by a pneumopleurocutaneous fistula in a 15-month-old infant |
title | Hordeum murinum aspiration revealed by a pneumopleurocutaneous fistula in a 15-month-old infant |
title_full | Hordeum murinum aspiration revealed by a pneumopleurocutaneous fistula in a 15-month-old infant |
title_fullStr | Hordeum murinum aspiration revealed by a pneumopleurocutaneous fistula in a 15-month-old infant |
title_full_unstemmed | Hordeum murinum aspiration revealed by a pneumopleurocutaneous fistula in a 15-month-old infant |
title_short | Hordeum murinum aspiration revealed by a pneumopleurocutaneous fistula in a 15-month-old infant |
title_sort | hordeum murinum aspiration revealed by a pneumopleurocutaneous fistula in a 15-month-old infant |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8645295/ https://www.ncbi.nlm.nih.gov/pubmed/34865632 http://dx.doi.org/10.1186/s12887-021-03016-0 |
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