Obstructive Pneumonia Caused by Soybean Aspiration in an Elderly Patient

DOI
  • Kanemoto Koji
    Department of Respiratory Medicine, Tsukuba Medical Center Hospital, Tsukuba Medical Center Foundation
  • Sakamoto Yumoe
    Department of Respiratory Medicine, Tsukuba Medical Center Hospital, Tsukuba Medical Center Foundation
  • Mochizuki Fumi
    Department of Respiratory Medicine, Tsukuba Medical Center Hospital, Tsukuba Medical Center Foundation
  • Shimada Takafumi
    Department of Respiratory Medicine, Tsukuba Medical Center Hospital, Tsukuba Medical Center Foundation
  • Fujiwara Keiji
    Department of Respiratory Medicine, Tsukuba Medical Center Hospital, Tsukuba Medical Center Foundation
  • Obara Kazuki
    Department of Respiratory Medicine, Tsukuba Medical Center Hospital, Tsukuba Medical Center Foundation
  • Fujita Junichi
    Department of Respiratory Medicine, Tsukuba Medical Center Hospital, Tsukuba Medical Center Foundation
  • Kurishima Koichi
    Department of Respiratory Medicine, Tsukuba Medical Center Hospital, Tsukuba Medical Center Foundation
  • Iijima Hiroaki
    Department of Respiratory Medicine, Tsukuba Medical Center Hospital, Tsukuba Medical Center Foundation
  • Ishikawa Hiroichi
    Department of Respiratory Medicine, Tsukuba Medical Center Hospital, Tsukuba Medical Center Foundation

Bibliographic Information

Other Title
  • 高齢者の大豆気道異物による閉塞性肺炎の1例

Search this article

Description

<p>Background. The diagnosis of airway foreign body aspiration in the elderly tends to be delayed with various reasons. Case. An 81-year-old woman without any previous history of pneumonia visited a medical clinic because of persistent cough for 2 months. She had wheezing on her chest and was treated for bronchial asthma, but she did not recover. The chest X-ray image showed infiltrates in her right lower lung field, and then she was came to our hospital. The chest CT images disclosed infiltrates in her right lower lobe and a low density area in the orifice of the right B8+B9+B10. The bronchoscopic examination revealed a foreign body occluding the bronchus and severe granulation tissue formation in the surrounding mucosa. After the examination, a foreign body was expectorated spontaneously and thought to be a soybean from its gross appearance, microscopic findings, and recollection of eating soybeans 9 months previously. We diagnosed soybean aspiration complicating obstructive pneumonia, and treated her with ampicillin/sulbactam and prednisolone for 7 days, then the chronic cough improved and the granulation in the bronchial mucosa and the pneumonic shadow disappeared. Conclusion. Clinicians should consider airway foreign bodies in the elderly who have chronic cough even if they are not aware of aspiration and the foreign bodies are not visible on plain film.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top