Endobronchial Foreign Body Presenting as Exacerbation of Asthma

Abstract EN

Airway foreign bodies are a leading cause of death among children and require urgent recognition by medical personnel.

While most cases are diagnosed readily from a clinical history of acute respiratory distress, some cases remain more indolent and present later.

We report the case of a 7-year-old boy who aspirated a “LEGO” toy and presented with a week history of increasing respiratory distress compatible with known asthma.

Despite a normal chest X-ray, a low-dose computed tomography showed the presence of a foreign body in the left main bronchus, which was subsequently removed by fiberoptic bronchoscopy.

Our case serves to reemphasize the importance of considering airway foreign bodies as a cause of respiratory distress, especially in young children.