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Severe Endobronchial Inflammation Induced by Aspiration of a Ferrous Sulfate Tablet

Authors
Lim, Sang YounSohn, Sung BirmLee, Jung MinLee, Ji AeChung, SangmiKim, JungaChoi, JuwhanKim, SehwaYoo, Ah YoungRoh, Jong AhPark, HaeinKim, Won ShikSim, Jae KyeomShim, Jae JeongMin, Kyung Hoon
Issue Date
1월-2016
Publisher
TAEHAN KYORHAEK HYOPHOE-KOREAN ACAD TUBERCULOSIS & RESPIRATORY DISEASES
Keywords
Foreign Bodies; Respiratory Aspiration; Bronchi; Bronchoscopy
Citation
TUBERCULOSIS AND RESPIRATORY DISEASES, v.79, no.1, pp.37 - 41
Indexed
SCOPUS
KCI
Journal Title
TUBERCULOSIS AND RESPIRATORY DISEASES
Volume
79
Number
1
Start Page
37
End Page
41
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/89971
DOI
10.4046/trd.2016.79.1.37
ISSN
1738-3536
Abstract
Iron supplements such as ferrous sulfate tablets are usually used to treat iron-deficiency anemia in some elderly patients with primary neurologic disorders or decreased gag reflexes due to stroke, senile dementia, or parkinsonism. While the aspiration of ferrous sulfate is rarely reported, it is a potentially life-threatening condition that can lead to airway necrosis and bronchial stenosis. A detailed history and high suspicion of aspiration are required to avoid delays in diagnosis and treatment. The diagnosis can be confirmed by bronchoscopic examination and a tissue biopsy. Early removal of the aspirated tablet prevents acute complications, such as bronchial necrosis, hemoptysis, and lobar consolidation. Tablet removal is also necessary to prevent late bronchial stenosis. We presented the first case in Korea of a ferrous sulfate tablet aspiration that induced severe endobronchial inflammation.
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