Unusual finding on bronchoscopy: trauma patient identified as a body stuffer.
We present the case of a trauma patient whose persistently abnormal chest radiography led to exploratory bronchoscopy. After the discovery of a foreign body in the right lower lobe bronchus, an attempted retrieval resulted in accidental perforation of a cocaine bag and release of the drug, which may have been the cause of the patient's subsequent pneumonitis.
Chang
Candace
C
Department of Anesthesia, Perioperative Care, and Critical Care Medicine, San Francisco General Hospital, Box 3C38, San Francisco, CA 94110, USA.
Grush
Aimee
A
McClintock
Dana E
DE
Nahid
Payam
P
Tang
Julin F
JF
D000328:Adult; D001999:Bronchoscopy / Q000379:methods*; D003042:Cocaine / Q000652:urine; D005334:Fever / Q000150:complications; D005547:Foreign Bodies / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D013287:Illicit Drugs / Q000652:urine; D001239:Inhalation; D008297:Male; D009093:Mucus; D010969:Plastics; D011014:Pneumonia / Q000139:chemically induced; D011015:Pneumonia, Aspiration / Q000150:complications; D011782:Quadriplegia / Q000209:etiology; D013902:Radiography, Thoracic / Q000379:methods; D013119:Spinal Cord Injuries / Q000209:etiology; D016103:Spinal Fractures / Q000150:complications; D013525:Surgical Instruments; D014057:Tomography, X-Ray Computed / Q000379:methods; D014662:Vasoconstrictor Agents / Q000652:urine; D014948:Wounds, Gunshot / Q000150:complications*
D013287:Illicit Drugs; D010969:Plastics; D014662:Vasoconstrictor Agents; D003042:Cocaine