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Case Reports
Persistent cough and failure to thrive: a presentation of foreign body aspiration in a child with asthma.
- Amir Kugelman, Ron Shaoul, Moshe Goldsher, and Isaak Srugo.
- Department of Pediatrics, Bnai Zion Medical Center, The B. Rappaport Faculty of Medicine, Haifa, Israel. dramir@netvision.net.il
- Pediatrics. 2006 May 1;117(5):e1057-60.
AbstractSevere failure to thrive (FTT) in a child with asthma and a persistent cough should not be explained solely by asthma and warrants a thorough and prompt evaluation. The finding of a foreign body in our case was surprising, because it does not usually present as or lead to FTT. Good clinical judgment and habits could prevent the course of events that we described in this case. Following are the key lessons to be learned from this presentation: (1) maintain a high index of suspicion for foreign body aspiration, even in toddlers with asthma, (2) pay special attention to a child with FTT, (3) be aware of localizing findings on physical examination and chest radiographs, and (4) perform a chest radiograph no later than after 1 month of chronic cough.
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