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Inhaler screw‐up: A real world cystic fibrosis (CF) case
Author(s) -
Arooj Parniya,
Plant Robert,
Doddakula Kishore,
Plant Barry J.
Publication year - 2019
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.24158
Subject(s) - inhaler , mouthpiece , medicine , choking , foreign body , foreign body aspiration , bronchoscopy , cystic fibrosis , bronchus , right main bronchus , flexible bronchoscopy , surgery , respiratory disease , dentistry , lung , asthma , anatomy
A 40‐year‐old male with Cystic Fibrosis developed a sudden onset choking, cough, dyspnea and hemoptysis after using his inhaler. He presented to A&E. CT scan located a foreign body in his right bronchus intermedius (RBI). Rigid bronchoscopy was performed and removed a plastic rawl plug with screw from his RBI. He made a rapid recovery. On questioning he mentioned he had stored his inhaler uncapped in the same pocket he had this screw which he found at work. Small objects can lodge in inhalers due to their design/mouthpiece uncapping. This can result in endobronchial foreign body aspiration. This case highlights the importance of replacing inhaler cap when not in use.