Arzu BABAYİĞİT, Duygu ÖLMEZ, Savaş DEMİRPENÇE, Nevin UZUNER, Mehmet TÜRKMEN, Özkan KARAMAN

Bronkodilatatör tedaviye yanıtsız hışıltılı çocuk

Yabancı cisim aspirasyonları süt çocukluğu ve erken çocukluk döneminde sık ve hayatı tehdit edebilen bir durumdur. Yabancı cisim aspirasyonu olan hastaların %50’sinde tipik aspirasyon öyküsü bulunmayabilir. Bu çocuklarda, ilk öksürük nöbetine tanık olunmamış olabilir veya ailelerin bu semptomların önemini anlayacak kadar medikal bilgisi olmayabilir. Atipik veya uzamış solunum bulguları hekim için uyarıcı olmalı, klinik ve radyolojik bulgular olası yabancı cisim aspirasyonu açısından dikkatlice değerlendirilmelidir. Burada; infantil astım tanısı ile izlenmekte olan ve bronkodilatatör tedaviden fayda görmediği ağır atak sırasında çekilen toraks tomografi tetkikinde yabancı cisim saptanan bir vaka sunulmuştur

Anahtar Kelimeler:

Solunum sesleri, Bronkoskopi, Yabancı cisimler, Yabancı cisim reaksiyonu, Süt çocuğu, Tomografi, x-ışınlı bilgisayarlı, Tedavi sonucu

Wheezy child unresponsive to bronchodilator therapy

Foreign body aspiration in infants and young children is a common and potentially life-threatening event. 50% of the patients with foreign body aspiration may not have a history of a typical aspiration. Initial choking episode of children was not witnessed or the parents did not have the adequate medical knowledge about the importance of these symptoms. Atypical or prolonged respiratory symptoms should alert the physician and clinical and radiological findings should be carefully evaluated for a possible foreign body aspiration. Here we report a child who was followed as infantil asthma and detected a foreign body with computerized tomography during a severe attack unresponisive to bronchodilators.

Keywords:

Respiratory Sounds, Bronchoscopy, Foreign Bodies, Foreign-Body Reaction, Infant, Tomography, X-Ray Computed, Treatment Outcome,

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