Open AccessA complicated cockroach‐ectomy
Author(s) -
Vazirani Jaideep,
Yu Christiaan,
Stirling Robert
Publication year - 2018
Publication title -
respirology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 9
ISSN - 2051-3380
DOI - 10.1002/rcr2.332
Subject(s) - medicine , foreign body , airway , foreign body aspiration , cockroach , surgery , choking , anesthesia , anatomy , biology , ecology
The exact incidence of foreign body aspiration among adults is unknown, and its clinical presentation is vastly divergent. We report the previously undescribed occurrence of cockroach aspiration in an adult, presenting with a “crawling sensation” in his chest. Flexible endobronchial examination revealed a foreign body impacted in the lingula, resembling the Australian cockroach Periplaneta australasiae . Partial extraction via biopsy forceps was performed and complicated by acute hypoxia on disimpaction, requiring a brief period of bag/mask ventilation. Following the offset of procedural sedation, the remaining foreign body was manually expectorated. A total of 24 h post‐procedure, the patient was febrile with positive blood cultures ( Micrococcus luteus ). We highlight the importance of definitive airway support during endobronchial interventions and raise the question regarding the significance of transient bacteraemia following bronchoscopic manipulation.