A Patient With a Chronic Cough: An Unexpected Case of Calcium Pill Aspiration

Foreign body aspiration is a life-threatening medical condition that requires prompt action. Delayed diagnosis is associated with long-term serious complication often leading to death. In adults, it can remain undetected for a long period of time. The patient gives a long history of a cough, which clinicians often ignore. A chest radiograph is unreliable to exclude the disease as it may not show radiolucent objects. Diagnostic bronchoscopy is necessary to exclude the disease. We report a case of 70-year-old woman who had a 1-month history of a cough and was admitted for shortness of breath, and on further evaluation, we incidentally detected calcium tablets in her bronchus. The present case demonstrates the need for early bronchoscopy especially when the cause of a chronic cough is not known.

[1]  Jamie M. Hess,et al.  Calcium Pill Aspiration: A Case Report. , 2017, The Journal of emergency medicine.

[2]  A. Saeed,et al.  Calcium Pill Aspiration. , 2017, Archivos de bronconeumologia.

[3]  P. Battistoni,et al.  Syndrome of iron pill inhalation in four patients with accidental tablet aspiration: Severe airway complications are described , 2015, Respiratory medicine case reports.

[4]  A. Mehta,et al.  A foreign body of a different kind: Pill aspiration , 2014, Annals of thoracic medicine.

[5]  M. Levine,et al.  Foreign Body Removal , 2010 .

[6]  K. Fong,et al.  ‘Iron lung’: Distinctive bronchoscopic features of acute iron tablet aspiration , 2003, Respirology.

[7]  R. Lan Non-asphyxiating tracheobronchial foreign bodies in adults. , 1994, The European respiratory journal.

[8]  B. Nigam Bronchial foreign body masquerading as a lung carcinoma. , 1990, The Indian journal of chest diseases & allied sciences.