title: Coexisting pulmonary tuberculosis and unsuspected bronchial foreign body removed by fiberoptic bronchoscopy after 42 years.
abstract: Aspiration of foreign bodies into the tracheobronchial tree is extremely rare in adults without an underlying predisposing factor. A high index of suspicion is the most important factor leading to a diagnosis of tracheobronchial foreign body aspiration. Unless the patients give a clear history of aspiration, a foreign body may remain occult for years. To our knowledge, the longest bronchial foreign body retention in an adult recorded in English literature is 40 years. We present a case of coexisting pulmonary tuberculosis and unsuspected foreign body which remained in the bronchus of an adult for 42 years before the diagnosis.
authors.affiliation: Department of Pulmonology, Sureyyapasa Center for Chest Diseases and Thoracic Surgery Training and Investigation Hospital, Istanbul, Turkey.
authors.forename: Gulbanu Horzum
authors.initials: GH
authors.lastname: Ekinci
authors.affiliation: Department of Pulmonology, Sureyyapasa Center for Chest Diseases and Thoracic Surgery Training and Investigation Hospital, Istanbul, Turkey.
authors.forename: Osman
authors.initials: O
authors.lastname: Haciomeroglu
authors.affiliation: Department of Pulmonology, Sureyyapasa Center for Chest Diseases and Thoracic Surgery Training and Investigation Hospital, Istanbul, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Kavas
authors.affiliation: Department of Pulmonology, Sureyyapasa Center for Chest Diseases and Thoracic Surgery Training and Investigation Hospital, Istanbul, Turkey.
authors.forename: Dilem Anil
authors.initials: DA
authors.lastname: Mavigok
authors.affiliation: Department of Pulmonology, Sureyyapasa Center for Chest Diseases and Thoracic Surgery Training and Investigation Hospital, Istanbul, Turkey.
authors.forename: Mehmet Emin
authors.initials: ME
authors.lastname: Ozcan
authors.affiliation: Department of Pulmonology, Sureyyapasa Center for Chest Diseases and Thoracic Surgery Training and Investigation Hospital, Istanbul, Turkey.
authors.forename: Adnan
authors.initials: A
authors.lastname: Yilmaz
mesh_terms: D000369:Aged, 80 and over; D000995:Antitubercular Agents / Q000627:therapeutic use; D001999:Bronchoscopy; D057210:Delayed Diagnosis; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D006801:Humans; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D013183:Sputum / Q000382:microbiology; D013997:Time Factors; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents