J Korean Pediatr Soc.  1997 Mar;40(3):423-428.

A Case of Severe Pulmonary Complication and ARDS Secondary to Peanut Aspiration in 15 Month Old Male

• Moon SK
• Kim CK
• Chung CY

Abstract

Foreign body aspiration (especially peanut) is the leading cause of accidental death in children under 1 year of age and most cases of serious aspiration occur between the age of 1 and 3. We report a case of severe pulmonary complication and adult respiratory distress syndrome (ARDS) secondary to peanut aspiration in 15 month old male in spite of all removal (9 pieces) by ventilating bronchoscope. Chest X-ray showed pulmonary interstitial emphysema, marked subcutaneous emphysema, pneumothorax and autopsy findings showed interstitial inflammatory cell infiltration with destruction of acinar septal architecture and formation of hyaline membranes. Chest X-ray and pathologic findings are compatible with the late ARDS. A brief review of related literature was made.

Keyword

Peanut; Foreign body aspiration; Pulmonary complication; Adult Respiratory Distress Syndrome

MeSH Terms

Autopsy
Bronchoscopes
Child
Emphysema
Foreign Bodies
Humans
Hyalin
Infant*
Male*
Membranes
Pneumothorax
Respiratory Distress Syndrome, Adult
Subcutaneous Emphysema
Thorax