Wheezing of unexpected etiology: A case report of pea aspiration mimicking bronchus obstruction caused by a tumor.

ABSTRACT:

Introduction

Geriatric patients with foreign body aspiration (FBA) lack a detailed medical history. Meanwhile, FBA can mimic other diseases and present with wheezing. Here, we report on the difficulty of making a diagnosis of FBA in an elderly man with wheezing.

Case presentation

An 84-year-old man presented with wet cough. He had progressive lung cancer, for which only supportive care was provided. His physical examination revealed wheezing. We presumptively diagnosed acute exacerbation of chronic obstructive pulmonary disease (AE-COPD) and administered inhaled procaterol and parenteral methylprednisolone, which did not mitigate his symptoms. Computed tomography revealed a round nodule, 1 cm in diameter, in his right intermediate bronchus. Central airway obstruction (CAO) c

SUBMITTER: Muramatsu H 

PROVIDER: S-EPMC7841212 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature