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Journal of Case Reports
What The Tooth Fairy Missed: An Unusual Cause of Recurrent Pneumonia and Successful Management with Fiberoptic Bronchoscopy

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KG Lynrah1, V Nongpiur2,  S Warjri1, S Tariang1
1Department of Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, India; 2Department of Pulmonary Medicine, All India Institute of Health and Medical Sciences (AIIMS), New Delhi, India.
Corresponding Author:
Dr. KG Lynrah
Email: rilawa23@rediffmail.com
Received: 18-NOV-2016 Accepted: 10-JAN-2017 Published Online: 30-JAN-2017
DOI: http://dx.doi.org/10.17659/01.2017.0012
Abstract
Background: Tracheobronchial aspiration is uncommon in adults. The non-asphyxiating nature of such lesions usually leads to chronicity and an obscure clinical presentation that is often confused with chronic respiratory disorders such as asthma, recurrent pneumonia. A high index of clinical suspicion is imperative in the diagnosis. Case Report: We present a case of an aspirated tooth that masqueraded as recurrent pneumonia for more than two years prior to its successful removal by fiberoptic bronchoscopy. Conclusion: Adult tracheobronchial aspirations can present with chronic respiratory symptoms, high index of suspicion is needed and prompt bronchoscopic removal is the treatment of choice.
Keywords : Asthma, Bronchoscopy, Foreign Bodies, Pneumonia, Respiratory Disorders.
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