Inhaler screw-up: A real world cystic fibrosis (CF) case

Pediatric Pulmonology
Parniya AroojBarry J Plant

Abstract

A 40-year-old male with Cystic Fibrosis developed a sudden onset choking, cough, dyspnea and hemoptysis after using his inhaler. He presented to A&E. CT scan located a foreign body in his right bronchus intermedius (RBI). Rigid bronchoscopy was performed and removed a plastic rawl plug with screw from his RBI. He made a rapid recovery. On questioning he mentioned he had stored his inhaler uncapped in the same pocket he had this screw which he found at work. Small objects can lodge in inhalers due to their design/mouthpiece uncapping. This can result in endobronchial foreign body aspiration. This case highlights the importance of replacing inhaler cap when not in use.

References

Feb 27, 1993·BMJ : British Medical Journal·V S TaskarA M Hilton
Aug 25, 2000·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·P CampisiR Sweet
Aug 22, 2012·Respiratory Care·Aykut EliçoraSalih Topçu
Apr 11, 2015·BMJ Case Reports·Lucinda Katharine McCowan BlakeDeborah Helwen Yates

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Citations

Sep 25, 2020·Pediatric Pulmonology·Adrienne P Savant, Susanna A McColley

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