Bronchial Ulcer Caused by Aspiration of Granular Nutritional Supplement Containing Plum Extract: a Case Report

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  • 梅肉エキス粒状製剤の誤嚥により気管支潰瘍を来した症例

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Abstract

<p>Background. There have been several reports of bronchial ulcer caused by aspiration of foreign objects, but most of them involved aspiration of food or teeth, and none have reported ulceration caused by plum extract in a nutrition supplement. Case report. A 92-year-old woman, after eating 5 pieces of a commercial nutritional supplement containing plum extract, experienced wheezing and dyspnea, and she visited her physician. Computed tomography of the chest revealed a highly resorbed foreign body in the right basilar canal that could not be removed by endoscopy therefore she was referred to us. Steroids were administered for local anti-inflammatory effect, and bronchoscopy was performed 2 days after aspiration, which revealed an olive-colored foreign body in the right B9 that was removed using grasping forceps. After removal, the lumen was edematous all around, with white moss, hemorrhaging, and necrotic material, and ulcers were present. The foreign body was confirmed to be a health food the patient had consumed before the appearance of symptoms. Nine days after removal, bronchoscopy was performed again, and the bronchial ulcers were confirmed to have improved. The patient was subsequently discharged. Conclusion. We experienced a case of bronchial ulcers caused by a nutritional supplement that was successfully treated through bronchoscopic removal of the foreign body.</p>

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