Cayenne aspiration: an unusual type of lower airway foreign-body aspiration

Lianjun Lin,1 Yuchuan Wang,1 Xiankui Zha,2 Fei Tang,2 Liping Lv,2 Xinmin Liu1 1Geriatric Department, Peking University First Hospital, Beijing, 2Pulmonary Intervention Department, Anhui Chest Hospital, Hefei, People’s Republic of China Purpose: Cayenne aspiration is an unusual type of for...

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Autores principales:	Lin L, Wang Y, Zha X, Tang F, Lv L, Liu X
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	cayenne aspiration clinical features flexible bronchoscopy Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/2bd997f6ce2045b4a26a14df030cf085
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spelling	oai:doaj.org-article:2bd997f6ce2045b4a26a14df030cf0852021-12-02T07:54:52ZCayenne aspiration: an unusual type of lower airway foreign-body aspiration1178-1998https://doaj.org/article/2bd997f6ce2045b4a26a14df030cf0852014-11-01T00:00:00Zhttps://www.dovepress.com/cayenne-aspiration-an-unusual-type-of-lower-airway-foreign-body-aspira-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Lianjun Lin,1 Yuchuan Wang,1 Xiankui Zha,2 Fei Tang,2 Liping Lv,2 Xinmin Liu1 1Geriatric Department, Peking University First Hospital, Beijing, 2Pulmonary Intervention Department, Anhui Chest Hospital, Hefei, People’s Republic of China Purpose: Cayenne aspiration is an unusual type of foreign-body aspiration that is usually misdiagnosed. This article analyzes the clinical features of cayenne aspiration in the lower airway.Patients and methods: Clinical data on eight adult patients with cayenne aspiration were retrospectively analyzed. Six were elderly patients. The data were collected from Peking University First Hospital and Anhui Chest Hospital between January 2010 and August 2014.Results: The most common symptoms of cayenne aspiration were cough (eight cases, 100%) and sputum (five cases, 62.5%). Only one patient (12.5%) could supply the history of aspiration on his first visit to doctor and was diagnosed definitely without delay. The other seven cases were misdiagnosed as pneumonia and the time to accurate diagnosis was from 1 month to 6 months. The history of aspiration could be recalled after confirmed diagnosis for the other seven cases. The most common presentation shown by chest computed tomography (CT) was pneumonic opacity (eight cases, 100%). The existence of cayenne could not be detected by chest CT in any of the patients. All the patients were diagnosed definitively and managed successfully with flexible bronchoscopy. Cayenne was more often lodged in the right bronchus tree (seven cases, 87.5%), especially the right lower bronchus (four cases, 50%). The segment of cayenne was complete in five cases (62.5%) and scattered in three cases (37.5%).Conclusion: The clinical features of cayenne aspiration are usually obscure and nonspecific which may lead to delay in diagnosis. Flexible bronchoscopy is safe and useful for early diagnosis and effective management. Keywords: clinical features, flexible bronchoscopy, chest CT, pneumoniaLin LWang YZha XTang FLv LLiu XDove Medical Pressarticlecayenne aspirationclinical featuresflexible bronchoscopyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 2019-2025 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	cayenne aspiration clinical features flexible bronchoscopy Geriatrics RC952-954.6
spellingShingle	cayenne aspiration clinical features flexible bronchoscopy Geriatrics RC952-954.6 Lin L Wang Y Zha X Tang F Lv L Liu X Cayenne aspiration: an unusual type of lower airway foreign-body aspiration
description	Lianjun Lin,1 Yuchuan Wang,1 Xiankui Zha,2 Fei Tang,2 Liping Lv,2 Xinmin Liu1 1Geriatric Department, Peking University First Hospital, Beijing, 2Pulmonary Intervention Department, Anhui Chest Hospital, Hefei, People’s Republic of China Purpose: Cayenne aspiration is an unusual type of foreign-body aspiration that is usually misdiagnosed. This article analyzes the clinical features of cayenne aspiration in the lower airway.Patients and methods: Clinical data on eight adult patients with cayenne aspiration were retrospectively analyzed. Six were elderly patients. The data were collected from Peking University First Hospital and Anhui Chest Hospital between January 2010 and August 2014.Results: The most common symptoms of cayenne aspiration were cough (eight cases, 100%) and sputum (five cases, 62.5%). Only one patient (12.5%) could supply the history of aspiration on his first visit to doctor and was diagnosed definitely without delay. The other seven cases were misdiagnosed as pneumonia and the time to accurate diagnosis was from 1 month to 6 months. The history of aspiration could be recalled after confirmed diagnosis for the other seven cases. The most common presentation shown by chest computed tomography (CT) was pneumonic opacity (eight cases, 100%). The existence of cayenne could not be detected by chest CT in any of the patients. All the patients were diagnosed definitively and managed successfully with flexible bronchoscopy. Cayenne was more often lodged in the right bronchus tree (seven cases, 87.5%), especially the right lower bronchus (four cases, 50%). The segment of cayenne was complete in five cases (62.5%) and scattered in three cases (37.5%).Conclusion: The clinical features of cayenne aspiration are usually obscure and nonspecific which may lead to delay in diagnosis. Flexible bronchoscopy is safe and useful for early diagnosis and effective management. Keywords: clinical features, flexible bronchoscopy, chest CT, pneumonia
format	article
author	Lin L Wang Y Zha X Tang F Lv L Liu X
author_facet	Lin L Wang Y Zha X Tang F Lv L Liu X
author_sort	Lin L
title	Cayenne aspiration: an unusual type of lower airway foreign-body aspiration
title_short	Cayenne aspiration: an unusual type of lower airway foreign-body aspiration
title_full	Cayenne aspiration: an unusual type of lower airway foreign-body aspiration
title_fullStr	Cayenne aspiration: an unusual type of lower airway foreign-body aspiration
title_full_unstemmed	Cayenne aspiration: an unusual type of lower airway foreign-body aspiration
title_sort	cayenne aspiration: an unusual type of lower airway foreign-body aspiration
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/2bd997f6ce2045b4a26a14df030cf085
work_keys_str_mv	AT linl cayenneaspirationanunusualtypeoflowerairwayforeignbodyaspiration AT wangy cayenneaspirationanunusualtypeoflowerairwayforeignbodyaspiration AT zhax cayenneaspirationanunusualtypeoflowerairwayforeignbodyaspiration AT tangf cayenneaspirationanunusualtypeoflowerairwayforeignbodyaspiration AT lvl cayenneaspirationanunusualtypeoflowerairwayforeignbodyaspiration AT liux cayenneaspirationanunusualtypeoflowerairwayforeignbodyaspiration
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Cayenne aspiration: an unusual type of lower airway foreign-body aspiration

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