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A Case of Severe Pulmonary Complication and ARDS Secondary to Peanut Aspiration in 15 Month Old Male

Journal of the Korean Pediatric Society 1997;40(3):423-428.
Published online March 15, 1997.
A Case of Severe Pulmonary Complication and ARDS Secondary to Peanut Aspiration in 15 Month Old Male
Sung Keun Moon, Chang Keun Kim, Churl Young Chung
Department of Pediatrics, College of Medicine, Inje University, Paik Hospital, Sanggye, Korea
15개월 남아에서 땅콩흡인에 의한 심한 흉부합병증 및 성인형 호흡곤란 증후군(ARDS)을 보인 1례
문성근, 김창근, 정철영
인제대학교 의과대학 상계백병원 소아과학교실
Abstract
Foreign body aspiration(especially peanut) is the leading cause of accidental death in children under 1 year of age and most cases of serious aspiration occur between the age of 1 and 3. We report a case of severe pulmonary complication and adult respiratory distress syndrome(ARDS) secondary to peanut aspiration in 15 month old male in spite of all removal(9 pieces) by ventilating bronchoscope. Chest X-ray showed pulmonary interstitial emphysema, marked subcutaneous emphysema, pneumothorax and autopsy findings showed interstitial inflammatory cell infiltration with destruction of acinar septal architecture and formation of hyaline membranes. Chest X-ray and pathologic findings are compatible with the late ARDS. A brief review of related literature was made.
Key Words: Peanut, Foreign body aspiration, Pulmonary complication, Adult Respiratory Distress Syndrome


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