Lung Abscess from Aspirated Peanut with Recovery after Removal

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The following case is reported because it shows the very rapid recovery from a lung abscess which followed removal of the causative agent. This occurred in spite of the fact that the foreign body had been present for four weeks. This case also illustrates the danger of certain types of foreign bodies and the importance of repeating the bronchoscopic examination if the response is not at first satisfactory.

Report of Case

The patient, a boy 5 years of age, was admitted on the medical service of Dr. John Tucker on June 24, 1938. The following history was obtained: Four weeks previously, severe cough, choking, and respiratory difficulty had developed while the child was eating peanuts. A day later, a bronchoscopic examination had been performed and a piece of peanut was removed from the right main bronchus. Within 24 hours edema and obstruction of the larynx developed and it became necessary to do a tracheotomy.

The cough persisted and had grown more severe during the preceding week. At the time of our examination it was productive of green pus. Since the onset of the illness, the temperature had been elevated in the morning and had been persistently high for the previous week. The patient had lost his appetite and refused to eat properly with a resultant loss of 9 pounds in weight. Sleep had been fitful and he had been complaining of aching in the arms and back.

The previous medical history was irrelevant except for pneumonia at the age of . . .



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