Cough and you'll miss it

Seana Molloy, Gemma Batchelor, Luke McCadden, Rebecca Moore, Thomas Bourke, Andrew Thompson

Research output: Contribution to journalArticle

Abstract

Foreign body aspiration is a potentially fatal occurrence, particularly in children less than 3 years of age. Predisposing factors include the tendency to put objects into the mouth, poor chewing ability, lack of posterior dentition and uninhibited inspirations when laughing or crying. Classically, the history opens with a witnessed choking episode which would raise a high level of suspicion in the clinician. Ideally, this would lead to an investigative cascade resultant in prompt diagnosis and removal of the object without significant sequelae. The clinical presentation, however, of an unwitnessed foreign body aspiration can be non-specific and subtle from acute shortness of breath and difficulty breathing to intractable cough, fever and chronic wheeze. It can masquerade as a reactive airway or primary infective pathology and delay crucial diagnosis. A high index of suspicion is therefore required when assessing a child with any of these complaints. Commonly aspirated substances include food particles, hardware and toys. Retained foreign bodies can lead to severe and dangerous long-term consequences including atelectasis, pneumothorax, pneumomediastinum or even death. The purpose of this case is to demonstrate the diagnostic dilemma when dealing with young children and the understated presentation of an unwitnessed aspiration of a foreign body.
Original languageEnglish
JournalArchives of disease in childhood. Education and practice edition
Early online date29 Oct 2019
DOIs
Publication statusEarly online date - 29 Oct 2019

Fingerprint

Foreign Bodies
Cough
Mediastinal Emphysema
Crying
Play and Playthings
Aptitude
Dentition
Pulmonary Atelectasis
Mastication
Pneumothorax
Airway Obstruction
Causality
Dyspnea
Mouth
Respiration
Fever
History
Pathology
Food
Aspirations (Psychology)

Cite this

Molloy, Seana ; Batchelor, Gemma ; McCadden, Luke ; Moore, Rebecca ; Bourke, Thomas ; Thompson, Andrew. / Cough and you'll miss it. In: Archives of disease in childhood. Education and practice edition. 2019.
@article{fc95ce9dff434437adfd370be87b1b84,
title = "Cough and you'll miss it",
abstract = "Foreign body aspiration is a potentially fatal occurrence, particularly in children less than 3 years of age. Predisposing factors include the tendency to put objects into the mouth, poor chewing ability, lack of posterior dentition and uninhibited inspirations when laughing or crying. Classically, the history opens with a witnessed choking episode which would raise a high level of suspicion in the clinician. Ideally, this would lead to an investigative cascade resultant in prompt diagnosis and removal of the object without significant sequelae. The clinical presentation, however, of an unwitnessed foreign body aspiration can be non-specific and subtle from acute shortness of breath and difficulty breathing to intractable cough, fever and chronic wheeze. It can masquerade as a reactive airway or primary infective pathology and delay crucial diagnosis. A high index of suspicion is therefore required when assessing a child with any of these complaints. Commonly aspirated substances include food particles, hardware and toys. Retained foreign bodies can lead to severe and dangerous long-term consequences including atelectasis, pneumothorax, pneumomediastinum or even death. The purpose of this case is to demonstrate the diagnostic dilemma when dealing with young children and the understated presentation of an unwitnessed aspiration of a foreign body.",
author = "Seana Molloy and Gemma Batchelor and Luke McCadden and Rebecca Moore and Thomas Bourke and Andrew Thompson",
year = "2019",
month = "10",
day = "29",
doi = "10.1136/archdischild-2019-318121",
language = "English",
journal = "Archives of disease in childhood. Education and practice edition",
issn = "1743-0585",
publisher = "BMJ Publishing Group",

}

Cough and you'll miss it. / Molloy, Seana; Batchelor, Gemma; McCadden, Luke; Moore, Rebecca; Bourke, Thomas; Thompson, Andrew.

In: Archives of disease in childhood. Education and practice edition, 29.10.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Cough and you'll miss it

AU - Molloy, Seana

AU - Batchelor, Gemma

AU - McCadden, Luke

AU - Moore, Rebecca

AU - Bourke, Thomas

AU - Thompson, Andrew

PY - 2019/10/29

Y1 - 2019/10/29

N2 - Foreign body aspiration is a potentially fatal occurrence, particularly in children less than 3 years of age. Predisposing factors include the tendency to put objects into the mouth, poor chewing ability, lack of posterior dentition and uninhibited inspirations when laughing or crying. Classically, the history opens with a witnessed choking episode which would raise a high level of suspicion in the clinician. Ideally, this would lead to an investigative cascade resultant in prompt diagnosis and removal of the object without significant sequelae. The clinical presentation, however, of an unwitnessed foreign body aspiration can be non-specific and subtle from acute shortness of breath and difficulty breathing to intractable cough, fever and chronic wheeze. It can masquerade as a reactive airway or primary infective pathology and delay crucial diagnosis. A high index of suspicion is therefore required when assessing a child with any of these complaints. Commonly aspirated substances include food particles, hardware and toys. Retained foreign bodies can lead to severe and dangerous long-term consequences including atelectasis, pneumothorax, pneumomediastinum or even death. The purpose of this case is to demonstrate the diagnostic dilemma when dealing with young children and the understated presentation of an unwitnessed aspiration of a foreign body.

AB - Foreign body aspiration is a potentially fatal occurrence, particularly in children less than 3 years of age. Predisposing factors include the tendency to put objects into the mouth, poor chewing ability, lack of posterior dentition and uninhibited inspirations when laughing or crying. Classically, the history opens with a witnessed choking episode which would raise a high level of suspicion in the clinician. Ideally, this would lead to an investigative cascade resultant in prompt diagnosis and removal of the object without significant sequelae. The clinical presentation, however, of an unwitnessed foreign body aspiration can be non-specific and subtle from acute shortness of breath and difficulty breathing to intractable cough, fever and chronic wheeze. It can masquerade as a reactive airway or primary infective pathology and delay crucial diagnosis. A high index of suspicion is therefore required when assessing a child with any of these complaints. Commonly aspirated substances include food particles, hardware and toys. Retained foreign bodies can lead to severe and dangerous long-term consequences including atelectasis, pneumothorax, pneumomediastinum or even death. The purpose of this case is to demonstrate the diagnostic dilemma when dealing with young children and the understated presentation of an unwitnessed aspiration of a foreign body.

U2 - 10.1136/archdischild-2019-318121

DO - 10.1136/archdischild-2019-318121

M3 - Article

JO - Archives of disease in childhood. Education and practice edition

JF - Archives of disease in childhood. Education and practice edition

SN - 1743-0585

ER -