title: Severe sand aspiration: a case report with complete recovery.
abstract: A 5-year-old boy, previously healthy, was admitted to Ratchaburi Hospital after being buried in a sand pile. He presented with dyspnea and tachypnea. Chest radiograph showed opaque particles in both main and segmental bronchi (sand bronchogram). The first attempt of bronchoscopy was unsatisfactory as a considerable amount of sand particles had migrated further into the distal bronchi. A second bronchoscopy was performed with 0.9% saline lavage. Most of the sand particles were successfully removed. Intravenous steroids and antibiotics were administered for treatment. The patient was discharged uneventfully by the end of the first week of hospitalization.
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Ratchaburi Hospital, Ralchaburi 70000, Thailand.
authors.forename: Chanin
authors.initials: C
authors.lastname: Glinjongol
authors.forename: Surachai
authors.initials: S
authors.lastname: Kiatchaipipat
authors.forename: Somchai
authors.initials: S
authors.lastname: Thepcharoenniran
mesh_terms: D001999:Bronchoscopy; D002675:Child, Preschool; D005547:Foreign Bodies / Q000601:surgery; D005548:Foreign-Body Migration; D006801:Humans; D001239:Inhalation; D008297:Male; D012822:Silicon Dioxide
chemical_list: D012822:Silicon Dioxide