A complicated cockroach-ectomy

Respirology Case Reports
Jaideep VaziraniRobert Stirling

Abstract

The exact incidence of foreign body aspiration among adults is unknown, and its clinical presentation is vastly divergent. We report the previously undescribed occurrence of cockroach aspiration in an adult, presenting with a "crawling sensation" in his chest. Flexible endobronchial examination revealed a foreign body impacted in the lingula, resembling the Australian cockroach Periplaneta australasiae. Partial extraction via biopsy forceps was performed and complicated by acute hypoxia on disimpaction, requiring a brief period of bag/mask ventilation. Following the offset of procedural sedation, the remaining foreign body was manually expectorated. A total of 24 h post-procedure, the patient was febrile with positive blood cultures (Micrococcus luteus). We highlight the importance of definitive airway support during endobronchial interventions and raise the question regarding the significance of transient bacteraemia following bronchoscopic manipulation.

References

Feb 1, 1979·The Journal of Allergy and Clinical Immunology·B KangJ W Yunginger
Jul 1, 1997·The Journal of Emergency Medicine·T J MarlowD D Goltra
Feb 10, 2009·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Hakan Gürcan GürelUgur Arslan
Jul 1, 2011·Journal of Medical Case Reports·George Miltiadous, Moses Elisaf

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Methods Mentioned

BETA
biopsy

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