Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Bronchial Foreign Body Misdiagnosed as Bronchial Asthma

기관지천식으로 오인된 기관지내 이물 1예

  • Lee, Byoung Jun (Department of Internal Medicine, Chung-Ang University School of Medicine) ;
  • Lee, Young Woo (Department of Internal Medicine, Chung-Ang University School of Medicine) ;
  • Jung, Jae Woo (Department of Internal Medicine, Chung-Ang University School of Medicine) ;
  • Shin, Jong Wook (Department of Internal Medicine, Chung-Ang University School of Medicine) ;
  • Kim, Jae Yeol (Department of Internal Medicine, Chung-Ang University School of Medicine) ;
  • Park, In Won (Department of Internal Medicine, Chung-Ang University School of Medicine) ;
  • Choi, Byoung Whui (Department of Internal Medicine, Chung-Ang University School of Medicine)
  • 이병준 (중앙대학교 의과대학 내과학교실) ;
  • 이영우 (중앙대학교 의과대학 내과학교실) ;
  • 정재우 (중앙대학교 의과대학 내과학교실) ;
  • 신종욱 (중앙대학교 의과대학 내과학교실) ;
  • 김재열 (중앙대학교 의과대학 내과학교실) ;
  • 박인원 (중앙대학교 의과대학 내과학교실) ;
  • 최병휘 (중앙대학교 의과대학 내과학교실)
  • Received : 2004.06.15
  • Accepted : 2004.08.15
  • Published : 2004.11.30
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Abstract

In adults, aspiration of foreign bodies into tracheobronchus is sometimes presented atypically, mimicking chronic pulmonary diseases such as bronchial asthma, pneumonia, or empyema, especially without notice of aspiration or choking. In such cases, diagnosis and adequate treatments are often delayed. Suspicion of foreign body aspiration and computed tomography and bronchoscopic examination make correct diagnosis more early. We report a case of bronchial foreign body, which had been misdiagnosed as bronchial asthma with wheezing in the whole lung filed, and reversible airway obstruction in the spirometry.

저자들은 기관지내 이물의 흡인을 인지하지 못한 채 만성적인 기침과 호흡곤란, 전폐야에서의 복조성 천명을 보였고 폐기능 검사에서 기류제한을 보여 기관지천식으로 오인되어 진단이 늦어진 뒤 굴곡성 기관지내시경으로 이물을 제거한 후 곧바로 기관지천식의 증상과 천명이 소실되고 폐기능검사에서 보인 기류제한이 호전된 기관지내 이물의 증례 1예을 경험하여 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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