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The Missing Tooth: A Curious Case of Postobstructive Pneumonia
Author(s) -
Ian Holmes,
Kiran Gajurel,
José G. Montoya
Publication year - 2016
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofw088
Subject(s) - medicine , pneumonia , computed tomography , foreign body , radiology , thorax (insect anatomy) , aspiration pneumonia , intensive care medicine , anatomy
Foreign body aspirations that are not recognized at the time of aspiration can lead to insidious symptoms that can present a diagnostic challenge. We report the case of a 70-year-old man presenting with postobstructive pneumonia 2 months after aspirating his own tooth during a meal. He had been mistakenly diagnosed with asthma and treated with bronchodilators before a computed tomography scan of the thorax revealed the impacted tooth in his left bronchus. We review the clinical features and microbiology of postobstructive pneumonia and discuss the rationale of its treatment.

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