All issues > Volume 40(3); 1997

Case Report

J Korean Pediatr Soc. 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 SK Moon¹, Chang Keun CK Kim¹, Churl Young CY Chung¹

¹Department of Pediatrics, College of Medicine, Inje University, Paik Hospital, Sanggye, Korea

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.

Keywords :Peanut, Foreign body aspiration, Pulmonary complication, Adult Respiratory Distress Syndrome